Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,584.89	Facility		$575.44	$575.44	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $707.95	Professional		$478.63	$575.44	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,290.87	Facility		$1,230.27	$1,621.81	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,659.59	Professional		$512.86	$645.65	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,148.15 / $1,905.46	Facility		$549.54	$1,148.15	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $1,000.00	Facility		$524.81	$645.65	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Professional		$1,122.02	$1,122.02	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $851.14 / $891.25	Facility		$436.52	$851.14	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $794.33	Professional		$302.00	$436.52	$794.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,495.41	Professional		$3,630.78	$3,630.78	$5,495.41