Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.80 / $903.00 / $5,607.93	Facility		$340.80	$903.00	$5,607.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.80 / $627.91 / $941.98	Professional		$340.80	$627.91	$941.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $1,457.61 / $1,478.88	Facility		$1,457.61	$1,457.61	$1,478.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.91 / $766.82 / $1,504.54	Professional		$428.91	$766.82	$1,504.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,587.44	Facility		$395.75	$395.75	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.07 / $733.39 / $1,346.99	Professional		$400.07	$733.39	$1,346.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $340.80 / $724.11 / $1,067.45	Facility		$340.80	$724.11	$1,067.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $752.00 / $1,134.00	Professional		$378.00	$752.00	$1,134.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $589.72 / $1,183.90 / $1,600.70	Professional		$589.72	$1,183.90	$1,600.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.84 / $778.86 / $1,576.76	Professional		$514.84	$778.86	$1,576.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,919.80 / $2,074.04 / $12,000.00	Facility		$1,919.80	$2,074.04	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,557.39 / $6,251.76 / $7,722.75	Professional		$3,557.39	$6,251.76	$7,722.75