Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.06 / $1,245.00 / $10,561.00	Facility		$414.06	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.06 / $433.88 / $798.44	Professional		$414.06	$433.88	$798.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.34 / $686.55 / $1,100.85	Professional		$456.34	$686.55	$1,100.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.25 / $568.96 / $1,036.45	Professional		$438.25	$568.96	$1,036.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.06 / $555.66 / $935.78	Facility		$414.06	$555.66	$935.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $481.73 / $511.00 / $749.00	Professional		$481.73	$511.00	$749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $569.40 / $1,090.50	Professional		$4.00	$569.40	$1,090.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.09 / $497.21 / $996.78	Professional		$345.09	$497.21	$996.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,010.15 / $8,957.00 / $26,542.00	Facility		$2,010.15	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,616.50 / $4,616.50 / $4,616.50	Professional		$4,616.50	$4,616.50	$4,616.50