Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.55 / $295.55 / $295.55	Facility		$295.55	$295.55	$295.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.55 / $295.55 / $1,231.19	Professional		$295.55	$295.55	$1,231.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.23 / $682.16 / $727.64	Professional		$633.23	$682.16	$727.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,172.56 / $1,172.56	Facility		$1,106.19	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,334.40	Professional		$1,172.56	$1,172.56	$1,334.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $295.55 / $1,458.60	Facility		$290.89	$295.55	$1,458.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.89 / $290.89 / $1,319.28	Professional		$290.89	$290.89	$1,319.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $311.20 / $311.20	Professional		$311.20	$311.20	$311.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,524.33	Professional		$1,172.56	$1,172.56	$1,524.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,559.73 / $1,687.50 / $3,375.00	Facility		$1,559.73	$1,687.50	$3,375.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,725.00 / $4,725.00 / $4,725.00	Professional		$4,725.00	$4,725.00	$4,725.00