Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.23 / $663.56 / $5,109.00	Facility		$395.23	$663.56	$5,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.75 / $430.57 / $761.08	Professional		$388.75	$430.57	$761.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,461.99 / $1,461.99 / $1,483.32	Facility		$1,461.99	$1,461.99	$1,483.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $631.94 / $1,113.95	Professional		$386.96	$631.94	$1,113.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.30 / $575.79 / $1,021.30	Professional		$428.30	$575.79	$1,021.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $395.23 / $514.36 / $813.13	Facility		$395.23	$514.36	$813.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $527.00 / $585.00	Professional		$378.00	$527.00	$585.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $586.74 / $682.18 / $825.62	Professional		$586.74	$682.18	$825.62
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.87 / $502.42 / $1,041.70	Professional		$358.87	$502.42	$1,041.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,912.32 / $2,142.73 / $12,000.00	Facility		$1,912.32	$2,142.73	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,007.76 / $3,267.84 / $3,877.13	Professional		$3,007.76	$3,267.84	$3,877.13