Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $238.87 / $238.87	Facility		$238.87	$238.87	$238.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $238.87 / $1,524.87	Professional		$238.87	$238.87	$1,524.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.50 / $1,082.11 / $1,190.33	Professional		$1,004.50	$1,082.11	$1,190.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.05 / $1,452.25 / $1,452.25	Facility		$1,370.05	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,055.07	Professional		$1,452.25	$1,452.25	$2,055.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $266.97 / $3,300.00	Facility		$238.87	$266.97	$3,300.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $266.97 / $266.97	Professional		$266.97	$266.97	$266.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.19 / $2,426.19 / $2,426.19	Professional		$2,426.19	$2,426.19	$2,426.19
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $1,452.25 / $1,644.99	Facility		$658.00	$1,452.25	$1,644.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,916.97	Professional		$1,452.25	$1,452.25	$1,916.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $6,878.66	Facility		$2,550.00	$2,550.00	$6,878.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,878.66 / $6,878.66 / $6,878.66	Professional		$6,878.66	$6,878.66	$6,878.66