Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $3,670.53 / $5,177.00	Facility		$287.05	$3,670.53	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $348.78 / $682.83	Professional		$225.78	$348.78	$682.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.17 / $1,026.48 / $1,741.91	Facility		$933.17	$1,026.48	$1,741.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.74 / $434.36 / $816.87	Professional		$274.74	$434.36	$816.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.41 / $650.35 / $1,226.89	Facility		$338.41	$650.35	$1,226.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $403.14 / $757.92	Professional		$249.37	$403.14	$757.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.78 / $372.00 / $561.54	Facility		$225.78	$372.00	$561.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $412.00 / $786.67	Professional		$378.00	$412.00	$786.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.90 / $281.80 / $752.30	Professional		$242.90	$281.80	$752.30
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 $282.70 / $381.71 / $907.21	Professional		$282.70	$381.71	$907.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,578.66 / $1,578.66 / $12,000.00	Facility		$1,578.66	$1,578.66	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,659.52 / $2,547.04 / $3,017.03	Professional		$1,659.52	$2,547.04	$3,017.03