Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.50 / $540.32 / $1,041.72	Facility		$425.50	$540.32	$1,041.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.14 / $540.32 / $1,013.09	Professional		$449.14	$540.32	$1,013.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,144.15 / $1,567.03 / $1,899.58	Facility		$1,144.15	$1,567.03	$1,899.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $580.41 / $1,080.64	Professional		$303.93	$580.41	$1,080.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.96 / $940.31 / $1,773.03	Facility		$460.96	$940.31	$1,773.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.92 / $605.10 / $984.22	Professional		$308.92	$605.10	$984.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $540.32 / $646.24 / $1,121.16	Facility		$540.32	$646.24	$1,121.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $646.24 / $646.24 / $1,170.00	Professional		$646.24	$646.24	$1,170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.01 / $675.40 / $1,293.39	Professional		$439.01	$675.40	$1,293.39
United Facility/Professional Professional Modifier Low / Median / High Price $323.12 / $405.24 / $710.86	Professional		$323.12	$405.24	$710.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,175.20 / $3,208.15 / $3,208.15	Facility		$1,175.20	$3,208.15	$3,208.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,377.00 / $3,377.00 / $5,065.50	Professional		$3,377.00	$3,377.00	$5,065.50