Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.26 / $1,245.00 / $4,391.72	Facility		$320.26	$1,245.00	$4,391.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $567.91 / $1,024.83	Professional		$305.69	$567.91	$1,024.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,598.63 / $1,598.63 / $1,621.96	Facility		$1,598.63	$1,598.63	$1,621.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.65 / $734.36 / $1,364.02	Professional		$471.65	$734.36	$1,364.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,587.44	Facility		$606.10	$606.10	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.28 / $703.58 / $1,410.38	Professional		$380.28	$703.58	$1,410.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.26 / $704.45 / $974.50	Facility		$320.26	$704.45	$974.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.37 / $98.62 / $167.32	Facility	AS	$89.37	$98.62	$167.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $704.45 / $718.00 / $868.00	Professional		$704.45	$718.00	$868.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $898.60 / $1,644.80	Professional		$5.00	$898.60	$1,644.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,711.00 / $6,575.00 / $9,616.00	Facility		$1,711.00	$6,575.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.92 / $793.39 / $1,563.36	Professional		$528.92	$793.39	$1,563.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,261.40 / $2,261.40	Facility		$55.00	$2,261.40	$2,261.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $83.61 / $163.95 / $163.95	Facility	AS	$83.61	$163.95	$163.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,607.79 / $2,827.13 / $5,749.20	Professional		$2,607.79	$2,827.13	$5,749.20