Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.66 / $903.61 / $2,869.19	Facility		$350.66	$903.61	$2,869.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $377.10 / $1,122.08	Professional		$350.66	$377.10	$1,122.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,552.48 / $2,409.60 / $2,570.63	Facility		$1,552.48	$2,409.60	$2,570.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.48 / $225.48 / $225.48	Professional		$225.48	$225.48	$225.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.70 / $393.70 / $1,864.80	Facility		$393.70	$393.70	$1,864.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.58 / $716.43 / $1,208.55	Professional		$439.58	$716.43	$1,208.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.66 / $795.00 / $1,142.26	Facility		$350.66	$795.00	$1,142.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $402.00 / $510.00	Professional		$109.00	$402.00	$510.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $302.22 / $549.35	Professional		$80.44	$302.22	$549.35
United Facility/Professional Facility Modifier Low / Median / High Price $854.63 / $854.63 / $854.63	Facility		$854.63	$854.63	$854.63
United Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $609.72 / $1,038.43	Professional		$380.94	$609.72	$1,038.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,408.40 / $3,029.20 / $3,029.20	Facility		$2,408.40	$3,029.20	$3,029.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,008.41 / $3,166.97 / $3,166.97	Professional		$3,008.41	$3,166.97	$3,166.97