Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.60 / $624.87 / $8,413.00	Facility		$257.60	$624.87	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $394.73 / $624.87	Professional		$257.60	$394.73	$624.87
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 $250.56 / $521.91 / $981.08	Professional		$250.56	$521.91	$981.08
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 $303.60 / $468.47 / $872.36	Professional		$303.60	$468.47	$872.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $262.75 / $473.68 / $765.00	Facility		$262.75	$473.68	$765.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.52 / $517.00 / $606.00	Professional		$474.52	$517.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $529.10 / $1,119.09	Professional		$3.00	$529.10	$1,119.09
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 $346.26 / $469.05 / $1,046.66	Professional		$346.26	$469.05	$1,046.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,228.40 / $1,361.73 / $26,542.00	Facility		$1,228.40	$1,361.73	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,958.88 / $2,906.08 / $3,347.40	Professional		$1,958.88	$2,906.08	$3,347.40