Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.49 / $1,615.00 / $15,291.00	Facility		$448.49	$1,615.00	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.49 / $473.17 / $864.50	Professional		$448.49	$473.17	$864.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.66 / $748.53 / $1,209.90	Professional		$520.66	$748.53	$1,209.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,182.48 / $2,710.28	Facility		$1,182.48	$1,182.48	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.85 / $651.09 / $1,122.18	Professional		$492.85	$651.09	$1,122.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $448.49 / $616.00 / $897.89	Facility		$448.49	$616.00	$897.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $541.38 / $555.00 / $1,207.00	Professional		$541.38	$555.00	$1,207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $613.50 / $1,208.20	Professional		$5.00	$613.50	$1,208.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.47 / $568.22 / $1,105.20	Professional		$388.47	$568.22	$1,105.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,604.54 / $8,957.00 / $26,542.00	Facility		$2,604.54	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,827.26 / $3,827.26 / $4,000.35	Professional		$3,827.26	$3,827.26	$4,000.35