Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.80 / $672.68 / $7,278.00	Facility		$415.80	$672.68	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.80 / $454.98 / $844.68	Professional		$415.80	$454.98	$844.68
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 $438.72 / $701.74 / $1,193.47	Professional		$438.72	$701.74	$1,193.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $1,438.74	Facility		$530.04	$530.04	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $596.90 / $1,102.89	Professional		$439.03	$596.90	$1,102.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.80 / $545.98 / $831.13	Facility		$415.80	$545.98	$831.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $557.00 / $619.00	Professional		$507.00	$557.00	$619.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.82 / $677.21 / $866.47	Professional		$613.82	$677.21	$866.47
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 $380.82 / $533.14 / $1,224.58	Professional		$380.82	$533.14	$1,224.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,005.68 / $2,244.94 / $16,394.00	Facility		$2,005.68	$2,244.94	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,151.60 / $3,454.64 / $4,112.25	Professional		$3,151.60	$3,454.64	$4,112.25