Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,737.80	Facility		$630.96	$630.96	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $776.25	Professional		$524.81	$630.96	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,511.89	Facility		$1,778.28	$1,778.28	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,819.70	Professional		$676.08	$794.33	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $1,698.24	Facility		$512.86	$1,258.93	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $691.83 / $954.99	Facility		$602.56	$691.83	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,348.96	Professional		$1,202.26	$1,202.26	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $977.24	Facility		$478.63	$933.25	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $870.96	Professional		$331.13	$478.63	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $6,025.60	Professional		$3,981.07	$3,981.07	$6,025.60