Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.81 / $1,245.00 / $4,311.00	Facility		$89.81	$1,245.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $431.44 / $776.46	Professional		$63.26	$431.44	$776.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.72 / $672.89 / $1,141.86	Facility		$611.72	$672.89	$1,141.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $501.92 / $1,586.95	Professional		$91.84	$501.92	$1,586.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $606.10 / $1,073.39	Facility		$323.44	$606.10	$1,073.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $446.71 / $1,359.02	Professional		$84.63	$446.71	$1,359.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $477.24 / $896.66	Facility		$64.79	$477.24	$896.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $708.93 / $1,679.33	Professional		$400.00	$708.93	$1,679.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $116.80 / $1,527.90	Professional		$97.80	$116.80	$1,527.90
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 $464.57 / $685.34 / $1,696.17	Professional		$464.57	$685.34	$1,696.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,115.38 / $1,115.38	Facility		$55.00	$1,115.38	$1,115.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,306.65 / $4,529.80 / $5,173.13	Professional		$2,306.65	$4,529.80	$5,173.13