Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.53 / $1,090.34 / $5,177.00	Facility		$421.53	$1,090.34	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $767.45 / $1,685.10	Professional		$133.36	$767.45	$1,685.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.01 / $413.61 / $701.88	Facility		$376.01	$413.61	$701.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $1,251.17 / $2,470.79	Professional		$223.53	$1,251.17	$2,470.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $585.73 / $975.74	Facility		$323.44	$585.73	$975.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $478.10 / $1,876.23	Professional		$168.43	$478.10	$1,876.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $858.15 / $1,482.86	Facility		$133.36	$858.15	$1,482.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $947.00 / $2,188.59	Professional		$270.43	$947.00	$2,188.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $1,238.80 / $2,121.90	Professional		$1,045.00	$1,238.80	$2,121.90
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,258.00 / $4,877.00	Facility		$400.00	$1,258.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.83 / $1,103.47 / $2,069.92	Professional		$773.83	$1,103.47	$2,069.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,221.34 / $1,221.34	Facility		$55.00	$1,221.34	$1,221.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,737.22 / $5,504.86 / $6,204.53	Professional		$2,737.22	$5,504.86	$6,204.53