Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.15 / $701.25 / $1,364.15	Facility		$533.15	$701.25	$1,364.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.77 / $677.02 / $1,122.67	Professional		$562.77	$677.02	$1,122.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.61 / $1,904.11 / $2,311.88	Facility		$1,433.61	$1,904.11	$2,311.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.33 / $846.27 / $1,819.48	Professional		$719.33	$846.27	$1,819.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.58 / $1,177.80 / $2,221.40	Facility		$577.58	$1,177.80	$2,221.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.20 / $628.16 / $1,232.82	Professional		$392.20	$628.16	$1,232.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $846.27 / $1,404.81	Facility		$677.02	$846.27	$1,404.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $2,593.25	Professional		$846.27	$846.27	$2,593.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $846.27 / $1,620.61	Professional		$550.08	$846.27	$1,620.61
United Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $507.76 / $1,269.41	Professional		$423.14	$507.76	$1,269.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,472.51 / $4,614.88 / $4,614.88	Facility		$1,472.51	$4,614.88	$4,614.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,231.35 / $4,231.35 / $6,347.03	Professional		$4,231.35	$4,231.35	$6,347.03