Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $478.68 / $1,288.00	Facility		$230.00	$478.68	$1,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $445.28 / $849.44	Professional		$333.96	$445.28	$849.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.90 / $1,161.21 / $1,348.24	Facility		$942.90	$1,161.21	$1,348.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $397.69 / $890.56	Professional		$250.47	$397.69	$890.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.88 / $774.60 / $1,461.66	Facility		$379.88	$774.60	$1,461.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $413.12 / $810.86	Professional		$258.20	$413.12	$810.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $445.28 / $556.60 / $834.90	Facility		$445.28	$556.60	$834.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $800.00	Professional		$556.60	$556.60	$800.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,779.21 / $1,779.21 / $1,779.21	Facility		$1,779.21	$1,779.21	$1,779.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.79 / $556.60 / $1,065.89	Professional		$361.79	$556.60	$1,065.89
United Facility/Professional Professional Modifier Low / Median / High Price $278.30 / $333.96 / $669.00	Professional		$278.30	$333.96	$669.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $968.48 / $2,643.85 / $2,643.85	Facility		$968.48	$2,643.85	$2,643.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,783.00 / $2,783.00 / $4,174.50	Professional		$2,783.00	$2,783.00	$4,174.50