Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.26 / $793.48 / $1,615.00	Facility		$474.26	$793.48	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.26 / $656.03 / $1,480.73	Professional		$474.26	$656.03	$1,480.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.09 / $541.09 / $548.98	Facility		$541.09	$541.09	$548.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.61 / $1,010.62 / $1,932.16	Professional		$635.61	$1,010.62	$1,932.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.04 / $213.04 / $606.10	Facility		$213.04	$213.04	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.89 / $915.91 / $1,634.34	Professional		$664.89	$915.91	$1,634.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $483.75 / $787.24 / $1,273.66	Facility		$483.75	$787.24	$1,273.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $888.09 / $949.00 / $949.00	Professional		$888.09	$949.00	$949.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $901.50 / $901.50 / $2,164.00	Professional		$901.50	$901.50	$2,164.00
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.74 / $892.67 / $1,762.04	Professional		$599.74	$892.67	$1,762.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,420.51 / $2,420.51	Facility		$55.00	$2,420.51	$2,420.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,591.60 / $5,032.64 / $5,753.85	Professional		$3,591.60	$5,032.64	$5,753.85