Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $707.95 / $5,495.41	Facility		$165.96	$707.95	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $812.83	Professional		$309.03	$371.54	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $933.25	Professional		$346.74	$501.19	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $812.83	Professional		$346.74	$478.63	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $831.76	Professional		$537.03	$537.03	$831.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $660.69	Facility		$331.13	$436.52	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $776.25	Professional		$489.78	$575.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,137.96 / $4,073.80	Facility		$891.25	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $691.83	Professional		$275.42	$371.54	$691.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,235.94	Professional		$2,691.53	$2,691.53	$3,235.94