Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $27.26 / $27.26	Facility		$27.26	$27.26	$27.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $27.26 / $1,498.82	Professional		$27.26	$27.26	$1,498.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.89 / $1,013.60 / $1,114.96	Professional		$940.89	$1,013.60	$1,114.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,427.45 / $1,427.45	Facility		$1,346.65	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,740.00	Professional		$1,427.45	$1,427.45	$1,740.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $1,218.00 / $2,116.35	Facility		$27.26	$1,218.00	$2,116.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $1,951.99	Professional		$1,218.00	$1,218.00	$1,951.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $1,928.00 / $1,928.00	Professional		$1,928.00	$1,928.00	$1,928.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,692.25 / $1,692.25 / $2,288.69	Facility		$1,692.25	$1,692.25	$2,288.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,855.69	Professional		$1,427.45	$1,427.45	$1,855.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,898.78 / $2,065.40 / $6,444.03	Facility		$1,898.78	$2,065.40	$6,444.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,444.03 / $6,444.03 / $6,525.00	Professional		$6,444.03	$6,444.03	$6,525.00