Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.20 / $581.79 / $1,259.41	Facility		$426.20	$581.79	$1,259.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $574.32 / $1,014.75	Professional		$449.87	$574.32	$1,014.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.02 / $1,667.34 / $2,139.30	Facility		$1,146.02	$1,667.34	$2,139.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.43 / $701.72 / $1,082.40	Professional		$304.43	$701.72	$1,082.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.52 / $941.76 / $1,775.70	Facility		$475.52	$941.76	$1,775.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $608.91 / $985.75	Professional		$313.92	$608.91	$985.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $781.29 / $1,122.99	Facility		$541.20	$781.29	$1,122.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $781.29 / $781.29 / $1,382.75	Professional		$781.29	$781.29	$1,382.75
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 / $781.29	Professional		$338.25	$405.90	$781.29
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