Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $1,684.00 / $2,065.00	Facility		$360.17	$1,684.00	$2,065.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.17 / $402.08 / $687.89	Professional		$360.17	$402.08	$687.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.20 / $862.99 / $1,208.39	Facility		$852.20	$862.99	$1,208.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.70 / $373.70 / $373.70	Professional		$373.70	$373.70	$373.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $436.71 / $623.05	Facility		$436.71	$436.71	$623.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.22 / $777.28 / $1,265.59	Professional		$480.22	$777.28	$1,265.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $604.50 / $910.54	Facility		$360.17	$604.50	$910.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $410.00 / $602.00	Professional		$191.00	$410.00	$602.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $641.10 / $869.80	Professional		$534.79	$641.10	$869.80
United Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $613.45 / $1,246.93	Professional		$453.71	$613.45	$1,246.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $818.34 / $2,647.01 / $2,647.01	Facility		$818.34	$2,647.01	$2,647.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,369.29 / $3,270.00 / $3,270.00	Professional		$2,369.29	$3,270.00	$3,270.00