Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.60 / $1,245.00 / $6,953.60	Facility		$475.60	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.64 / $480.02 / $756.45	Professional		$456.64	$480.02	$756.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,506.47 / $1,657.11 / $2,812.07	Facility		$1,506.47	$1,657.11	$2,812.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.42 / $780.42 / $1,332.65	Professional		$422.42	$780.42	$1,332.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $3,394.57 / $5,654.79	Facility		$554.52	$3,394.57	$5,654.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $719.97 / $1,230.38	Professional		$508.96	$719.97	$1,230.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $475.60 / $625.03 / $859.16	Facility		$475.60	$625.03	$859.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $497.18 / $684.00 / $3,138.74	Professional		$497.18	$684.00	$3,138.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $503.30 / $970.90	Professional		$443.60	$503.30	$970.90
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.71 / $584.76 / $1,322.99	Professional		$423.71	$584.76	$1,322.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,717.34 / $16,547.20	Facility		$55.00	$2,717.34	$16,547.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,468.60 / $4,468.60 / $4,468.60	Professional		$4,468.60	$4,468.60	$4,468.60