Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.84 / $615.66 / $1,240.54	Facility		$484.84	$615.66	$1,240.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.77 / $615.66 / $815.76	Professional		$511.77	$615.66	$815.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.69 / $1,640.60 / $2,164.44	Facility		$1,303.69	$1,640.60	$2,164.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.14 / $769.58 / $1,654.60	Professional		$654.14	$769.58	$1,654.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $1,071.33 / $2,020.35	Facility		$525.24	$1,071.33	$2,020.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $571.38 / $1,121.48	Professional		$356.70	$571.38	$1,121.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $615.66 / $769.58 / $1,154.36	Facility		$615.66	$769.58	$1,154.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.23 / $500.23 / $769.58	Professional		$500.23	$500.23	$769.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $500.23 / $769.58 / $1,473.75	Professional		$500.23	$769.58	$1,473.75
United Facility/Professional Facility Modifier Low / Median / High Price $923.50 / $923.50 / $923.50	Facility		$923.50	$923.50	$923.50
United Facility/Professional Professional Modifier Low / Median / High Price $384.79 / $461.75 / $792.67	Professional		$384.79	$461.75	$792.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,339.07 / $3,655.51 / $3,655.51	Facility		$1,339.07	$3,655.51	$3,655.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,847.90 / $3,847.90 / $5,771.85	Professional		$3,847.90	$3,847.90	$5,771.85