Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $1,380.38	Facility		$389.05	$954.99	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $549.54	Professional		$295.12	$346.74	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,698.24	Facility		$676.08	$1,122.02	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $660.69	Professional		$181.97	$354.81	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $630.96 / $1,047.13	Facility		$275.42	$630.96	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $602.56	Professional		$186.21	$295.12	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $676.08	Facility		$323.59	$389.05	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $426.58	Professional		$398.11	$398.11	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $676.08	Facility		$331.13	$524.81	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $575.44	Professional		$169.82	$275.42	$575.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,019.95	Professional		$1,995.26	$1,995.26	$3,019.95