Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,862.09 / $1,949.84	Facility		$467.74	$1,862.09	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $588.84	Professional		$389.05	$467.74	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $1,819.70	Facility		$1,148.15	$1,778.28	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $1,348.96	Professional		$501.19	$588.84	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $933.25 / $1,548.82	Facility		$398.11	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $812.83	Facility		$426.58	$524.81	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $977.24	Professional		$891.25	$891.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $707.95	Facility		$354.81	$691.83	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $645.65	Professional		$245.47	$354.81	$645.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,365.16	Professional		$2,951.21	$2,951.21	$4,365.16