Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,187.76 / $2,290.87	Facility		$549.54	$2,187.76	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $676.08	Professional		$457.09	$549.54	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,187.76	Facility		$1,174.90	$1,548.82	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,584.89	Professional		$588.84	$691.83	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,096.48 / $1,819.70	Facility		$467.74	$1,096.48	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $954.99	Facility		$501.19	$616.60	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,174.90	Professional		$1,047.13	$1,047.13	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $851.14	Facility		$416.87	$812.83	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $758.58	Professional		$288.40	$416.87	$758.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,128.61	Professional		$3,467.37	$3,467.37	$5,128.61