Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.73 / $776.80 / $5,449.00	Facility		$391.73	$776.80	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $524.36 / $1,132.61	Professional		$391.73	$524.36	$1,132.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.54 / $441.54 / $447.98	Facility		$441.54	$441.54	$447.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.33 / $733.48 / $1,261.71	Professional		$487.33	$733.48	$1,261.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.04 / $539.04 / $606.10	Facility		$539.04	$539.04	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.37 / $672.42 / $1,194.08	Professional		$473.37	$672.42	$1,194.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $391.73 / $620.24 / $924.48	Facility		$391.73	$620.24	$924.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $620.24 / $643.00 / $686.00	Professional		$620.24	$643.00	$686.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $703.70 / $1,439.10	Professional		$5.00	$703.70	$1,439.10
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.28 / $634.41 / $1,273.86	Professional		$449.28	$634.41	$1,273.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,774.82 / $2,774.82	Facility		$55.00	$2,774.82	$2,774.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,919.92 / $3,439.65 / $4,528.64	Professional		$2,919.92	$3,439.65	$4,528.64