Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.06 / $3,545.84 / $12,850.66	Facility		$409.06	$3,545.84	$12,850.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.67 / $430.55 / $883.57	Professional		$399.67	$430.55	$883.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.15 / $1,627.07 / $2,761.08	Facility		$1,479.15	$1,627.07	$2,761.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.15 / $719.20 / $1,132.82	Professional		$421.15	$719.20	$1,132.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.36 / $1,362.98 / $2,709.73	Facility		$495.36	$1,362.98	$2,709.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.01 / $599.60 / $1,076.43	Professional		$397.01	$599.60	$1,076.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.06 / $497.00 / $766.00	Facility		$409.06	$497.00	$766.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $542.00 / $606.00 / $1,125.35	Professional		$542.00	$606.00	$1,125.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.60 / $637.24 / $857.10	Professional		$478.60	$637.24	$857.10
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 $353.24 / $477.61 / $1,125.32	Professional		$353.24	$477.61	$1,125.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,331.96 / $7,929.30 / $26,542.00	Facility		$2,331.96	$7,929.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,056.96 / $3,056.96 / $3,545.25	Professional		$3,056.96	$3,056.96	$3,545.25