Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.55 / $901.00 / $7,278.00	Facility		$335.55	$901.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.55 / $479.33 / $709.21	Professional		$335.55	$479.33	$709.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.07 / $1,123.17 / $1,905.99	Facility		$1,021.07	$1,123.17	$1,905.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.28 / $780.96 / $1,201.96	Professional		$459.28	$780.96	$1,201.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $1,359.55 / $2,702.90	Facility		$498.00	$1,359.55	$2,702.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.01 / $605.32 / $1,123.69	Professional		$388.01	$605.32	$1,123.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $335.55 / $523.10 / $836.74	Facility		$335.55	$523.10	$836.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $508.00 / $561.00 / $775.00	Professional		$508.00	$561.00	$775.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.20 / $508.20 / $1,129.70	Professional		$423.20	$508.20	$1,129.70
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $661.00 / $4,824.00	Facility		$393.00	$661.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.68 / $563.47 / $1,310.42	Professional		$409.68	$563.47	$1,310.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,388.00 / $2,388.00 / $16,394.00	Facility		$2,388.00	$2,388.00	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,998.00 / $3,815.44 / $4,464.45	Professional		$2,998.00	$3,815.44	$4,464.45