Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.76 / $649.12 / $8,413.00	Facility		$270.76	$649.12	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $404.68 / $570.16	Professional		$270.76	$404.68	$570.16
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 $374.19 / $575.26 / $1,045.88	Professional		$374.19	$575.26	$1,045.88
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 $336.73 / $493.01 / $894.35	Professional		$336.73	$493.01	$894.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.88 / $495.33 / $728.75	Facility		$278.88	$495.33	$728.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.36 / $536.00 / $606.00	Professional		$507.36	$536.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $548.60 / $1,165.90	Professional		$3.00	$548.60	$1,165.90
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 $355.49 / $482.34 / $1,023.41	Professional		$355.49	$482.34	$1,023.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,302.80 / $1,436.45 / $26,542.00	Facility		$1,302.80	$1,436.45	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,076.64 / $3,019.12 / $3,483.38	Professional		$2,076.64	$3,019.12	$3,483.38