Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.80 / $448.80 / $448.80	Facility		$448.80	$448.80	$448.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.80 / $448.80 / $960.84	Professional		$448.80	$448.80	$960.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.47 / $338.77 / $372.65	Professional		$314.47	$338.77	$372.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $915.09 / $915.09	Facility		$863.29	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,294.93	Professional		$915.09	$915.09	$1,294.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $448.80 / $665.00 / $1,834.80	Facility		$448.80	$665.00	$1,834.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $665.00 / $665.00	Professional		$665.00	$665.00	$665.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $918.10 / $918.10 / $918.10	Professional		$918.10	$918.10	$918.10
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,189.61	Professional		$915.09	$915.09	$1,189.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,417.80 / $2,153.31	Facility		$1,417.80	$1,417.80	$2,153.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,296.35 / $2,296.35 / $3,021.52	Professional		$2,296.35	$2,296.35	$3,021.52