Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.20 / $581.79 / $1,095.88	Facility		$426.20	$581.79	$1,095.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $541.20 / $717.09	Professional		$449.87	$541.20	$717.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.35 / $2,076.83 / $2,076.83	Facility		$1,411.35	$2,076.83	$2,076.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.43 / $600.97 / $1,272.64	Professional		$304.43	$600.97	$1,272.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.04 / $941.76 / $1,775.70	Facility		$514.04	$941.76	$1,775.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $502.27 / $998.93	Professional		$313.92	$502.27	$998.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $1,060.53 / $1,060.53	Facility		$541.20	$1,060.53	$1,060.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $459.56 / $459.56 / $1,060.53	Professional		$459.56	$459.56	$1,060.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $676.50 / $1,295.50	Professional		$439.73	$676.50	$1,295.50
United Facility/Professional Professional Modifier Low / Median / High Price $338.25 / $405.90 / $777.72	Professional		$338.25	$405.90	$777.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,177.10 / $3,213.38 / $3,213.38	Facility		$1,177.10	$3,213.38	$3,213.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,382.50 / $3,382.50 / $5,073.75	Professional		$3,382.50	$3,382.50	$5,073.75