Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.15 / $727.79 / $1,364.15	Facility		$533.15	$727.79	$1,364.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.77 / $677.02 / $897.05	Professional		$562.77	$677.02	$897.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.61 / $2,380.14 / $2,486.11	Facility		$1,599.61	$2,380.14	$2,486.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.82 / $719.33 / $1,523.29	Professional		$380.82	$719.33	$1,523.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.04 / $1,177.80 / $2,221.40	Facility		$643.04	$1,177.80	$2,221.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.67 / $628.16 / $1,249.31	Professional		$391.67	$628.16	$1,249.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $846.27 / $1,269.41	Facility		$677.02	$846.27	$1,269.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $550.08 / $846.27	Professional		$550.08	$550.08	$846.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $846.27 / $1,620.61	Professional		$550.08	$846.27	$1,620.61
United Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $507.76 / $871.66	Professional		$423.14	$507.76	$871.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,472.51 / $4,019.78 / $4,019.78	Facility		$1,472.51	$4,019.78	$4,019.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,231.35 / $4,231.35 / $6,347.03	Professional		$4,231.35	$4,231.35	$6,347.03