Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.96 / $756.82 / $7,278.00	Facility		$488.96	$756.82	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.98 / $513.42 / $931.84	Professional		$473.98	$513.42	$931.84
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 $535.15 / $790.23 / $1,327.51	Professional		$535.15	$790.23	$1,327.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $530.04	Facility		$221.28	$221.28	$530.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $710.19 / $1,232.74	Professional		$529.26	$710.19	$1,232.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $488.96 / $638.35 / $996.00	Facility		$488.96	$638.35	$996.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $625.00 / $662.00	Professional		$507.00	$625.00	$662.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $675.10 / $1,337.70	Professional		$4.00	$675.10	$1,337.70
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 $427.15 / $604.70 / $1,224.52	Professional		$427.15	$604.70	$1,224.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,903.40 / $2,903.40 / $16,394.00	Facility		$2,903.40	$2,903.40	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,653.92 / $3,981.42 / $4,407.60	Professional		$3,653.92	$3,981.42	$4,407.60