Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.68 / $784.69 / $10,561.00	Facility		$477.68	$784.69	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.68 / $640.50 / $1,054.40	Professional		$477.68	$640.50	$1,054.40
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 $645.41 / $1,118.31 / $1,631.44	Professional		$645.41	$1,118.31	$1,631.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $834.16 / $1,486.51	Professional		$603.79	$834.16	$1,486.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $487.23 / $830.16 / $1,212.73	Facility		$487.23	$830.16	$1,212.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $846.00 / $849.00	Professional		$716.00	$846.00	$849.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $858.20 / $1,800.70	Professional		$3.00	$858.20	$1,800.70
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 $575.12 / $765.61 / $1,630.34	Professional		$575.12	$765.61	$1,630.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,253.32 / $2,448.86 / $26,542.00	Facility		$2,253.32	$2,448.86	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,617.12 / $4,810.08 / $5,455.05	Professional		$3,617.12	$4,810.08	$5,455.05