Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,621.81	Facility		$588.84	$588.84	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $724.44	Professional		$489.78	$588.84	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,344.23	Facility		$1,659.59	$1,659.59	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,698.24	Professional		$630.96	$741.31	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,174.90 / $1,949.84	Facility		$562.34	$1,174.90	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $912.01	Facility		$478.63	$630.96	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,258.93	Professional		$1,148.15	$1,148.15	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $912.01	Facility		$446.68	$870.96	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $812.83	Professional		$309.03	$446.68	$812.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,623.41	Professional		$3,715.35	$3,715.35	$5,623.41