Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.36 / $907.36 / $907.36	Facility		$907.36	$907.36	$907.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $907.36 / $907.36	Professional		$735.05	$907.36	$907.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.26 / $675.74 / $743.31	Professional		$627.26	$675.74	$743.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $735.05 / $735.05	Facility		$693.44	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,040.16	Professional		$735.05	$735.05	$1,040.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $907.36 / $1,542.51 / $2,442.00	Facility		$907.36	$1,542.51	$2,442.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,554.00 / $1,554.00 / $1,554.00	Professional		$1,554.00	$1,554.00	$1,554.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.70 / $1,143.70 / $1,143.70	Professional		$1,143.70	$1,143.70	$1,143.70
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,051.11	Professional		$735.05	$735.05	$1,051.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,887.00 / $1,887.00 / $4,295.12	Facility		$1,887.00	$1,887.00	$4,295.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,295.12 / $4,295.12 / $4,295.12	Professional		$4,295.12	$4,295.12	$4,295.12