Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,479.11 / $1,548.82	Facility		$371.54	$1,479.11	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $446.68	Professional		$309.03	$371.54	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,479.11	Facility		$794.33	$1,047.13	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $1,071.52	Professional		$398.11	$467.74	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $1,230.27	Facility		$316.23	$741.31	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $645.65	Facility		$338.84	$416.87	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $794.33	Professional		$707.95	$707.95	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $549.54 / $562.34	Facility		$281.84	$549.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $512.86	Professional		$194.98	$281.84	$512.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,467.37	Professional		$2,344.23	$2,344.23	$3,467.37