Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.16 / $1,615.00 / $6,953.60	Facility		$380.16	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $451.19 / $838.76	Professional		$352.92	$451.19	$838.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.74 / $446.74 / $453.26	Facility		$446.74	$446.74	$453.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.70 / $683.02 / $1,217.45	Professional		$465.70	$683.02	$1,217.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.78 / $470.78 / $606.10	Facility		$470.78	$470.78	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.96 / $617.60 / $1,155.92	Professional		$436.96	$617.60	$1,155.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $541.42 / $881.57	Facility		$352.92	$541.42	$881.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $649.00 / $649.00	Professional		$596.00	$649.00	$649.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $608.60 / $1,401.10	Professional		$5.00	$608.60	$1,401.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,711.00 / $7,162.00 / $10,397.00	Facility		$1,711.00	$7,162.00	$10,397.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.76 / $609.34 / $1,285.80	Professional		$421.76	$609.34	$1,285.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,519.34 / $2,519.34	Facility		$55.00	$2,519.34	$2,519.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,085.00 / $3,356.56 / $3,868.20	Professional		$3,085.00	$3,356.56	$3,868.20