Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.73 / $1,429.08 / $7,362.00	Facility		$607.73	$1,429.08	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.25 / $607.73 / $1,136.79	Professional		$520.25	$607.73	$1,136.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.28 / $389.28 / $394.96	Facility		$389.28	$389.28	$394.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.47 / $938.42 / $1,626.07	Professional		$623.47	$938.42	$1,626.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.91 / $837.35 / $1,497.22	Professional		$623.91	$837.35	$1,497.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $559.23 / $729.88 / $1,208.39	Facility		$559.23	$729.88	$1,208.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $759.00 / $826.00	Professional		$378.00	$759.00	$826.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $827.47 / $950.47 / $1,160.82	Professional		$827.47	$950.47	$1,160.82
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $832.00 / $1,928.00	Facility		$361.00	$832.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $745.37 / $1,636.53	Professional		$514.04	$745.37	$1,636.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,692.04 / $2,991.88 / $12,000.00	Facility		$2,692.04	$2,991.88	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,232.39 / $4,614.16 / $5,495.48	Professional		$4,232.39	$4,614.16	$5,495.48