Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,318.26	Facility		$478.63	$478.63	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $588.84	Professional		$398.11	$478.63	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,905.46	Facility		$1,023.29	$1,348.96	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,380.38	Professional		$512.86	$602.56	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $1,584.89	Facility		$457.09	$954.99	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $831.76	Facility		$436.52	$537.03	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,023.29	Professional		$912.01	$912.01	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $707.95 / $741.31	Facility		$363.08	$707.95	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $660.69	Professional		$251.19	$363.08	$660.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,570.88	Professional		$3,019.95	$3,019.95	$4,570.88