Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,344.23 / $2,511.89	Facility		$602.56	$2,344.23	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $724.44	Professional		$501.19	$602.56	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,398.83	Facility		$1,258.93	$1,698.24	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,737.80	Professional		$630.96	$741.31	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,174.90 / $1,949.84	Facility		$512.86	$1,174.90	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $1,047.13	Facility		$537.03	$676.08	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,258.93	Professional		$1,148.15	$1,148.15	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $891.25 / $912.01	Facility		$446.68	$891.25	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $831.76	Professional		$316.23	$446.68	$831.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,623.41	Professional		$3,715.35	$3,715.35	$5,623.41