Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,659.59 / $8,128.31	Facility		$478.63	$1,659.59	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $794.33	Professional		$269.15	$331.13	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,344.23	Facility		$1,819.70	$2,137.96	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $933.25	Professional		$323.59	$436.52	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $5,370.32	Facility		$478.63	$812.83	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $724.44	Professional		$295.12	$446.68	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $389.05 / $616.60	Facility		$269.15	$389.05	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $660.69	Professional		$380.19	$501.19	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $14,125.38	Facility		$1,148.15	$5,128.61	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $616.60	Professional		$257.04	$338.84	$616.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $28,840.32	Facility		$17,782.79	$17,782.79	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,290.87	Professional		$2,041.74	$2,041.74	$2,290.87