Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $681.44 / $5,724.00	Facility		$287.68	$681.44	$5,724.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $404.32 / $721.64	Professional		$275.23	$404.32	$721.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,704.83 / $1,704.83 / $1,729.70	Facility		$1,704.83	$1,704.83	$1,729.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $582.40 / $1,040.51	Professional		$369.25	$582.40	$1,040.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.95 / $511.62 / $921.09	Professional		$352.95	$511.62	$921.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.04 / $500.14 / $743.37	Facility		$292.04	$500.14	$743.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $509.91 / $544.00 / $606.00	Professional		$509.91	$544.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $560.79 / $1,162.80	Professional		$3.00	$560.79	$1,162.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.23 / $487.72 / $1,030.71	Professional		$364.23	$487.72	$1,030.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,372.88 / $1,511.36 / $26,542.00	Facility		$1,372.88	$1,511.36	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,192.48 / $3,099.04 / $3,558.23	Professional		$2,192.48	$3,099.04	$3,558.23