Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.38 / $600.00 / $2,654.00	Facility		$389.38	$600.00	$2,654.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.38 / $389.38 / $831.95	Professional		$389.38	$389.38	$831.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.96 / $1,214.64 / $1,495.86	Facility		$987.96	$1,214.64	$1,495.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.20 / $365.20 / $365.20	Professional		$365.20	$365.20	$365.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.24 / $430.24 / $584.80	Facility		$430.24	$430.24	$584.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.81 / $896.93 / $1,626.10	Professional		$486.81	$896.93	$1,626.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.38 / $754.87 / $1,239.54	Facility		$389.38	$754.87	$1,239.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $366.00 / $547.00	Professional		$181.00	$366.00	$547.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $595.40 / $1,068.50	Professional		$137.22	$595.40	$1,068.50
United Facility/Professional Facility Modifier Low / Median / High Price $508.17 / $508.17 / $508.17	Facility		$508.17	$508.17	$508.17
United Facility/Professional Professional Modifier Low / Median / High Price $426.64 / $723.84 / $1,219.70	Professional		$426.64	$723.84	$1,219.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,311.47 / $3,446.24 / $3,446.24	Facility		$3,311.47	$3,446.24	$3,446.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,344.14 / $4,344.14 / $4,344.14	Professional		$4,344.14	$4,344.14	$4,344.14