Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.72 / $747.33 / $5,449.00	Facility		$499.72	$747.33	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.72 / $546.92 / $1,013.21	Professional		$499.72	$546.92	$1,013.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.52 / $819.71 / $1,434.71	Professional		$537.52	$819.71	$1,434.71
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 $547.03 / $731.74 / $1,334.48	Professional		$547.03	$731.74	$1,334.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $499.72 / $656.32 / $1,040.48	Facility		$499.72	$656.32	$1,040.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $673.00 / $742.00	Professional		$378.00	$673.00	$742.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $735.33 / $838.42 / $1,039.25	Professional		$735.33	$838.42	$1,039.25
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.77 / $642.28 / $1,301.46	Professional		$458.77	$642.28	$1,301.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,401.88 / $2,680.52 / $12,000.00	Facility		$2,401.88	$2,680.52	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,774.64 / $4,144.47 / $4,936.20	Professional		$3,774.64	$4,144.47	$4,936.20