Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.83 / $747.00 / $1,684.00	Facility		$363.83	$747.00	$1,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.68 / $422.37 / $810.28	Professional		$375.68	$422.37	$810.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Professional		$175.58	$175.58	$175.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.27 / $402.27 / $1,859.58	Facility		$402.27	$402.27	$1,859.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.81 / $712.52 / $1,161.32	Professional		$428.81	$712.52	$1,161.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.68 / $638.66 / $1,060.67	Facility		$375.68	$638.66	$1,060.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $467.00 / $615.11	Professional		$88.00	$467.00	$615.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $451.50 / $700.00 / $1,064.90	Professional		$451.50	$700.00	$1,064.90
United Facility/Professional Professional Modifier Low / Median / High Price $407.77 / $583.45 / $1,155.83	Professional		$407.77	$583.45	$1,155.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,584.08 / $3,244.96 / $3,244.96	Facility		$2,584.08	$3,244.96	$3,244.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,899.34 / $2,899.34 / $2,989.43	Professional		$2,899.34	$2,899.34	$2,989.43