Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,659.59	Facility		$602.56	$602.56	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $758.58	Professional		$501.19	$602.56	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,398.83	Facility		$1,698.24	$1,698.24	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,737.80	Professional		$645.65	$758.58	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $1,995.26	Facility		$575.44	$1,202.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $933.25	Facility		$489.78	$645.65	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $933.25	Facility		$457.09	$891.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $831.76	Professional		$316.23	$457.09	$831.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,754.40	Professional		$3,801.89	$3,801.89	$5,754.40