Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,288.25 / $1,380.38	Facility		$323.59	$1,288.25	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $398.11	Professional		$275.42	$323.59	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,380.38	Facility		$794.33	$1,318.26	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $977.24	Professional		$371.54	$407.38	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $645.65 / $1,071.52	Facility		$281.84	$645.65	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $588.84	Facility		$323.59	$389.05	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $691.83	Professional		$630.96	$630.96	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $549.54	Facility		$275.42	$489.78	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $501.19	Professional		$173.78	$245.47	$501.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,090.30	Professional		$2,041.74	$2,041.74	$3,090.30