Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $1,621.81	Facility		$389.05	$1,513.56	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $380.19 / $457.09	Professional		$144.54	$380.19	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $812.83 / $1,548.82	Facility		$467.74	$812.83	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $436.52 / $676.08	Professional		$177.83	$436.52	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $758.58 / $1,258.93	Facility		$316.23	$758.58	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $426.58 / $676.08	Facility		$162.18	$426.58	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $812.83	Professional		$741.31	$741.31	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $251.19 / $478.63	Facility		$123.03	$251.19	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $331.13	Professional		$104.71	$123.03	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,630.78	Professional		$2,398.83	$2,398.83	$3,630.78