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 / $1,348.96	Facility		$323.59	$1,288.25	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $316.23 / $380.19	Professional		$107.15	$316.23	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $1,122.02	Facility		$363.08	$501.19	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $407.38	Professional		$100.00	$165.96	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $645.65 / $1,071.52	Facility		$275.42	$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 $131.83 / $354.81 / $562.34	Facility		$131.83	$354.81	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Professional		$616.60	$616.60	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $407.38	Facility		$100.00	$194.98	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $263.03	Professional		$83.18	$100.00	$263.03
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