Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.70 / $772.62 / $8,413.00	Facility		$316.70	$772.62	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.70 / $476.31 / $833.38	Professional		$316.70	$476.31	$833.38
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 $404.13 / $658.09 / $1,231.33	Professional		$404.13	$658.09	$1,231.33
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 $398.18 / $574.65 / $1,052.65	Professional		$398.18	$574.65	$1,052.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.02 / $571.57 / $843.39	Facility		$323.02	$571.57	$843.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $640.00 / $640.00	Professional		$579.00	$640.00	$640.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $645.50 / $1,398.90	Professional		$3.00	$645.50	$1,398.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,711.00 / $6,489.22 / $9,616.00	Facility		$1,711.00	$6,489.22	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.54 / $574.26 / $1,183.00	Professional		$408.54	$574.26	$1,183.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,515.32 / $1,674.38 / $26,542.00	Facility		$1,515.32	$1,674.38	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,409.44 / $3,537.92 / $4,105.13	Professional		$2,409.44	$3,537.92	$4,105.13