Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.22 / $1,918.50 / $4,311.00	Facility		$250.22	$1,918.50	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $376.43 / $515.71	Professional		$156.10	$376.43	$515.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.70 / $843.36 / $1,431.16	Facility		$766.70	$843.36	$1,431.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $477.41 / $1,020.70	Professional		$216.64	$477.41	$1,020.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $842.52 / $1,675.01	Facility		$323.44	$842.52	$1,675.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $427.67 / $882.00	Professional		$194.88	$427.67	$882.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.10 / $398.90 / $643.66	Facility		$156.10	$398.90	$643.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $412.00 / $570.11	Professional		$378.00	$412.00	$570.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $266.20 / $924.40	Professional		$217.60	$266.20	$924.40
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 $338.25 / $464.42 / $965.66	Professional		$338.25	$464.42	$965.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,082.16 / $1,082.16 / $12,000.00	Facility		$1,082.16	$1,082.16	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,929.00 / $2,962.24 / $3,462.45	Professional		$1,929.00	$2,962.24	$3,462.45