Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.52 / $1,245.00 / $10,561.00	Facility		$492.52	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.52 / $519.64 / $955.69	Professional		$492.52	$519.64	$955.69
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 $553.84 / $758.96 / $1,318.69	Professional		$553.84	$758.96	$1,318.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.99 / $711.24 / $1,240.56	Professional		$522.99	$711.24	$1,240.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $492.52 / $643.38 / $987.70	Facility		$492.52	$643.38	$987.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $581.97 / $598.00 / $749.00	Professional		$581.97	$598.00	$749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $675.30 / $1,309.09	Professional		$5.00	$675.30	$1,309.09
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 $416.93 / $604.21 / $1,319.06	Professional		$416.93	$604.21	$1,319.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,863.68 / $8,957.00 / $26,542.00	Facility		$2,863.68	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,332.49 / $4,332.49 / $4,401.08	Professional		$4,332.49	$4,332.49	$4,401.08