Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.70 / $596.70 / $596.70	Facility		$596.70	$596.70	$596.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $596.70 / $2,068.38	Professional		$596.70	$596.70	$2,068.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.89 / $526.66 / $561.78	Professional		$488.89	$526.66	$561.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $1,969.89 / $1,969.89	Facility		$1,858.38	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,701.20	Professional		$1,969.89	$1,969.89	$2,701.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $596.70 / $666.90 / $2,971.32	Facility		$596.70	$666.90	$2,971.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $666.90 / $666.90 / $666.90	Professional		$666.90	$666.90	$666.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,516.69 / $2,516.69 / $2,516.69	Professional		$2,516.69	$2,516.69	$2,516.69
United Facility/Professional Facility Modifier Low / Median / High Price $900.40 / $1,969.89 / $2,251.00	Facility		$900.40	$1,969.89	$2,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,363.87	Professional		$1,969.89	$1,969.89	$2,363.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,620.33 / $4,051.80 / $5,402.40	Facility		$2,620.33	$4,051.80	$5,402.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,264.56 / $10,264.56 / $12,155.40	Professional		$10,264.56	$10,264.56	$12,155.40