Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,202.26 / $1,258.93	Facility		$302.00	$1,202.26	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $380.19	Professional		$251.19	$302.00	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,174.90	Facility		$741.31	$1,148.15	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $602.56	Professional		$169.82	$323.59	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $602.56 / $1,000.00	Facility		$257.04	$602.56	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $524.81	Facility		$275.42	$338.84	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Professional		$575.44	$575.44	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $446.68 / $467.74	Facility		$229.09	$446.68	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $416.87	Professional		$158.49	$229.09	$416.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,818.38	Professional		$1,905.46	$1,905.46	$2,818.38