Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $519.91 / $8,413.00	Facility		$175.82	$519.91	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $319.05 / $520.84	Professional		$175.82	$319.05	$520.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,015.30 / $2,015.30 / $2,044.70	Facility		$2,015.30	$2,015.30	$2,044.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $450.02 / $876.18	Professional		$208.05	$450.02	$876.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.90 / $390.13 / $705.10	Professional		$211.90	$390.13	$705.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.34 / $382.86 / $640.00	Facility		$179.34	$382.86	$640.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $431.00 / $606.00	Professional		$424.00	$431.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $437.10 / $574.52	Professional		$262.99	$437.10	$574.52
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 $301.74 / $405.60 / $797.97	Professional		$301.74	$405.60	$797.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $852.24 / $947.39 / $26,542.00	Facility		$852.24	$947.39	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,359.44 / $2,753.93 / $3,258.72	Professional		$1,359.44	$2,753.93	$3,258.72