Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.26 / $675.72 / $8,413.00	Facility		$320.26	$675.72	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.26 / $435.23 / $713.16	Professional		$320.26	$435.23	$713.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.86 / $3,474.86 / $3,525.56	Facility		$3,474.86	$3,474.86	$3,525.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $606.45 / $1,048.13	Professional		$176.40	$606.45	$1,048.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,393.27	Facility		$606.10	$606.10	$2,393.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.15 / $533.07 / $961.86	Professional		$354.15	$533.07	$961.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.26 / $467.76 / $791.37	Facility		$320.26	$467.76	$791.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $530.87 / $559.00 / $606.00	Professional		$530.87	$559.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $593.40 / $1,200.50	Professional		$5.00	$593.40	$1,200.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.51 / $497.68 / $1,172.07	Professional		$360.51	$497.68	$1,172.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,274.48 / $2,274.48 / $26,542.00	Facility		$2,274.48	$2,274.48	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,402.08 / $3,246.64 / $3,793.05	Professional		$2,402.08	$3,246.64	$3,793.05