Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,722.62	Facility		$1,173.00	$1,173.00	$1,722.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $1,173.00 / $1,173.00	Professional		$449.41	$1,173.00	$1,173.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.59 / $426.16 / $468.78	Professional		$395.59	$426.16	$468.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $449.41 / $449.41	Facility		$423.97	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $1,173.00	Professional		$449.41	$449.41	$1,173.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.20 / $1,311.00 / $1,518.00	Facility		$676.20	$1,311.00	$1,518.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $1,311.00 / $1,311.00	Professional		$615.20	$1,311.00	$1,311.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $680.10 / $680.10 / $680.10	Professional		$680.10	$680.10	$680.10
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $593.22	Professional		$449.41	$449.41	$593.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $1,804.03 / $2,709.11	Facility		$1,380.00	$1,804.03	$2,709.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,709.11 / $2,709.11 / $2,709.11	Professional		$2,709.11	$2,709.11	$2,709.11