Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,071.52	Facility		$389.05	$389.05	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $467.74	Professional		$323.59	$389.05	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,548.82	Facility		$831.76	$1,071.52	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $1,122.02	Professional		$416.87	$489.78	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $776.25 / $1,288.25	Facility		$371.54	$776.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $660.69	Facility		$354.81	$436.52	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
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 $295.12 / $575.44 / $588.84	Facility		$295.12	$575.44	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $537.03	Professional		$204.17	$295.12	$537.03
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