Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,148.15	Facility		$426.58	$426.58	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $524.81	Professional		$354.81	$426.58	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,659.59	Facility		$891.25	$1,174.90	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,202.26	Professional		$446.68	$524.81	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $831.76 / $1,380.38	Facility		$398.11	$831.76	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $724.44	Facility		$380.19	$478.63	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $891.25	Professional		$812.83	$812.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $616.60 / $645.65	Facility		$316.23	$616.60	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $575.44	Professional		$223.87	$316.23	$575.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,981.07	Professional		$2,630.27	$2,630.27	$3,981.07