Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.78 / $339.78 / $339.78	Facility		$339.78	$339.78	$339.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $339.78 / $1,997.75	Professional		$339.78	$339.78	$1,997.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,733.05 / $1,866.98 / $1,991.44	Professional		$1,733.05	$1,866.98	$1,991.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,902.62 / $1,902.62	Facility		$1,794.93	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,692.39	Professional		$1,902.62	$1,902.62	$2,692.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.54 / $379.75 / $2,970.00	Facility		$149.54	$379.75	$2,970.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $379.75 / $379.75 / $379.75	Professional		$379.75	$379.75	$379.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,867.00 / $2,867.00 / $2,867.00	Professional		$2,867.00	$2,867.00	$2,867.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,473.41	Professional		$1,902.62	$1,902.62	$2,473.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,530.84 / $3,325.37 / $6,650.73	Facility		$2,530.84	$3,325.37	$6,650.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,450.00 / $9,450.00 / $10,463.36	Professional		$9,450.00	$9,450.00	$10,463.36