Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.19 / $1,338.00 / $10,768.00	Facility		$476.19	$1,338.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.19 / $503.11 / $934.06	Professional		$476.19	$503.11	$934.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.06 / $2,297.06 / $2,330.58	Facility		$2,297.06	$2,297.06	$2,330.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.94 / $777.18 / $1,316.09	Professional		$418.94	$777.18	$1,316.09
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 $523.66 / $692.09 / $1,212.48	Professional		$523.66	$692.09	$1,212.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $476.19 / $583.28 / $955.70	Facility		$476.19	$583.28	$955.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $603.00 / $638.00	Professional		$579.00	$603.00	$638.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $651.60 / $1,287.59	Professional		$3.00	$651.60	$1,287.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $571.33 / $1,175.71	Professional		$409.04	$571.33	$1,175.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,846.04 / $8,957.00 / $26,542.00	Facility		$1,846.04	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $4,253.47	Professional		$3,570.00	$3,570.00	$4,253.47