Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $5,248.07	Facility		$446.68	$758.58	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Professional		$416.87	$524.81	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,318.26	Professional		$501.19	$812.83	$1,318.26
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 $478.63 / $660.69 / $1,122.02	Professional		$478.63	$660.69	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,174.90	Professional		$776.25	$776.25	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $933.25	Facility		$446.68	$602.56	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,071.52	Professional		$660.69	$758.58	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $812.83 / $1,949.84	Facility		$204.17	$812.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $954.99	Professional		$389.05	$512.86	$954.99
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 Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,466.84	Professional		$3,715.35	$3,715.35	$4,466.84