Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,137.96 / $2,238.72	Facility		$537.03	$2,137.96	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $676.08	Professional		$446.68	$537.03	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,089.30	Facility		$1,318.26	$2,041.74	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $575.44 / $1,071.52	Professional		$302.00	$575.44	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,071.52 / $1,778.28	Facility		$457.09	$1,071.52	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $933.25	Facility		$489.78	$602.56	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,148.15	Professional		$1,023.29	$1,023.29	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $831.76	Facility		$407.38	$794.33	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $741.31	Professional		$281.84	$407.38	$741.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,128.61	Professional		$3,388.44	$3,388.44	$5,128.61