Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.51 / $712.48 / $5,449.00	Facility		$347.51	$712.48	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.51 / $500.44 / $688.32	Professional		$347.51	$500.44	$688.32
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 $485.62 / $810.01 / $1,246.66	Professional		$485.62	$810.01	$1,246.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.41 / $1,359.55 / $2,702.90	Facility		$338.41	$1,359.55	$2,702.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.57 / $613.90 / $1,151.35	Professional		$404.57	$613.90	$1,151.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $347.51 / $535.70 / $858.22	Facility		$347.51	$535.70	$858.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $415.00 / $705.80	Professional		$380.00	$415.00	$705.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $575.90 / $1,155.50	Professional		$478.70	$575.90	$1,155.50
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.82 / $584.24 / $1,346.12	Professional		$422.82	$584.24	$1,346.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,469.30 / $2,469.30 / $12,000.00	Facility		$2,469.30	$2,469.30	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,998.00 / $3,913.20 / $4,579.80	Professional		$2,998.00	$3,913.20	$4,579.80