Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,288.25 / $1,348.96	Facility		$323.59	$1,288.25	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $398.11	Professional		$269.15	$323.59	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,288.25	Facility		$691.83	$912.01	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $933.25	Professional		$346.74	$407.38	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $645.65 / $1,071.52	Facility		$275.42	$645.65	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $562.34	Facility		$295.12	$363.08	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Professional		$616.60	$616.60	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $478.63 / $501.19	Facility		$245.47	$478.63	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $446.68	Professional		$169.82	$245.47	$446.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,090.30	Professional		$2,041.74	$2,041.74	$3,090.30