Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.86 / $736.29 / $5,449.00	Facility		$475.86	$736.29	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.04 / $508.61 / $916.74	Professional		$430.04	$508.61	$916.74
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 $379.41 / $738.40 / $1,338.83	Professional		$379.41	$738.40	$1,338.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.24 / $685.71 / $1,237.68	Professional		$515.24	$685.71	$1,237.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $475.86 / $610.33 / $959.47	Facility		$475.86	$610.33	$959.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $627.00 / $689.00	Professional		$378.00	$627.00	$689.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $707.80 / $1,349.60	Professional		$4.00	$707.80	$1,349.60
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 $426.63 / $601.59 / $1,235.38	Professional		$426.63	$601.59	$1,235.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,863.55 / $2,863.55 / $12,000.00	Facility		$2,863.55	$2,863.55	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,599.76 / $3,850.32 / $4,585.05	Professional		$3,599.76	$3,850.32	$4,585.05