Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $933.25 / $5,495.41	Facility		$407.38	$933.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $831.76	Professional		$275.42	$416.87	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $251.19	Facility		$194.98	$223.87	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,000.00	Professional		$371.54	$588.84	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $524.81	Facility		$316.23	$398.11	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $891.25	Professional		$323.59	$489.78	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $426.58 / $707.95	Facility		$281.84	$426.58	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $457.09 / $1,000.00	Professional		$5.01	$457.09	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $446.68 / $1,348.96	Facility		$77.62	$446.68	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $660.69	Professional		$263.03	$389.05	$660.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,548.13	Professional		$3,090.30	$3,090.30	$3,548.13