Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $1,412.54 / $1,513.56	Professional		$26.92	$1,412.54	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $190.55	Facility		$125.89	$125.89	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $1,023.29	Professional		$89.13	$89.13	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,737.80	Professional		$1,412.54	$1,412.54	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $1,412.54 / $1,995.26	Facility		$27.54	$1,412.54	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $2,570.40	Facility		$1,380.38	$2,290.87	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,380.38 / $1,445.44	Professional		$125.89	$1,380.38	$1,445.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54