Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.24 / $2,320.42 / $7,362.00	Facility		$509.24	$2,320.42	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $547.25 / $1,582.00	Professional		$469.61	$547.25	$1,582.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.75 / $639.75 / $649.09	Facility		$639.75	$639.75	$649.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.44 / $859.62 / $1,387.51	Professional		$613.44	$859.62	$1,387.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.97 / $758.77 / $1,317.92	Professional		$575.97	$758.77	$1,317.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $509.24 / $660.63 / $968.80	Facility		$509.24	$660.63	$968.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $92.49 / $92.49 / $168.25	Facility	AS	$92.49	$92.49	$168.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $675.00	Professional		$650.00	$650.00	$675.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $685.70 / $1,406.60	Professional		$5.00	$685.70	$1,406.60
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 $458.10 / $640.35 / $1,263.66	Professional		$458.10	$640.35	$1,263.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,950.27 / $6,817.20	Facility		$55.00	$5,950.27	$6,817.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $119.14 / $388.48 / $646.16	Facility	AS	$119.14	$388.48	$646.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,783.52 / $4,479.38 / $4,479.38	Professional		$3,783.52	$4,479.38	$4,479.38