Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.12 / $1,245.00 / $5,449.00	Facility		$434.12	$1,245.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.53 / $495.09 / $903.72	Professional		$477.53	$495.09	$903.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.79 / $1,192.79 / $1,210.19	Facility		$1,192.79	$1,192.79	$1,210.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.80 / $712.21 / $1,283.79	Professional		$508.80	$712.21	$1,283.79
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 $490.29 / $669.15 / $1,208.42	Professional		$490.29	$669.15	$1,208.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $570.00 / $915.37	Facility		$481.34	$570.00	$915.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $589.00 / $649.00	Professional		$378.00	$589.00	$649.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $662.90 / $1,272.50	Professional		$3.00	$662.90	$1,272.50
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 $404.21 / $556.17 / $1,176.40	Professional		$404.21	$556.17	$1,176.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,873.40 / $4,292.35 / $12,000.00	Facility		$1,873.40	$4,292.35	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,624.88 / $3,624.88 / $4,319.10	Professional		$3,624.88	$3,624.88	$4,319.10