Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,202.26 / $7,585.78	Facility		$426.58	$1,202.26	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,202.26	Professional		$436.52	$524.81	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,202.26	Professional		$501.19	$691.83	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,148.15	Professional		$478.63	$660.69	$1,148.15
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 $478.63 / $616.60 / $933.25	Facility		$478.63	$616.60	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $977.24	Professional		$691.83	$831.76	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $6,606.93	Facility		$1,230.27	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $954.99	Professional		$398.11	$524.81	$954.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $28,840.32	Facility		$8,912.51	$8,912.51	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16