Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.77 / $606.69 / $1,222.46	Facility		$477.77	$606.69	$1,222.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $606.69 / $803.86	Professional		$504.31	$606.69	$803.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.13 / $2,227.65 / $2,227.65	Facility		$1,582.13	$2,227.65	$2,227.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.61 / $758.36 / $1,630.47	Professional		$644.61	$758.36	$1,630.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.58 / $1,055.44 / $1,990.99	Facility		$517.58	$1,055.44	$1,990.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $562.90 / $1,104.71	Professional		$351.52	$562.90	$1,104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $758.36 / $1,137.54	Facility		$606.69	$758.36	$1,137.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $492.93 / $492.93 / $758.36	Professional		$492.93	$492.93	$758.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $492.93 / $758.36 / $1,452.26	Professional		$492.93	$758.36	$1,452.26
United Facility/Professional Facility Modifier Low / Median / High Price $910.03 / $910.03 / $910.03	Facility		$910.03	$910.03	$910.03
United Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $455.02 / $781.11	Professional		$379.18	$455.02	$781.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,319.55 / $3,602.21 / $3,602.21	Facility		$1,319.55	$3,602.21	$3,602.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,791.80 / $3,791.80 / $5,687.70	Professional		$3,791.80	$3,791.80	$5,687.70