Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $503.01 / $1,244.41	Facility		$467.92	$503.01	$1,244.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.07 / $467.92 / $643.39	Professional		$462.07	$467.92	$643.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.84 / $1,943.45 / $2,191.84	Facility		$990.84	$1,943.45	$2,191.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $711.83 / $1,725.01	Professional		$526.41	$711.83	$1,725.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.71 / $685.72 / $1,535.50	Facility		$398.71	$685.72	$1,535.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.26 / $407.62 / $1,010.44	Professional		$275.26	$407.62	$1,010.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $526.41 / $802.33	Facility		$368.49	$526.41	$802.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $469.37 / $722.10 / $802.33	Professional		$469.37	$722.10	$802.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $584.90 / $1,120.08	Professional		$380.19	$584.90	$1,120.08
United Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $401.17 / $802.33	Professional		$292.45	$401.17	$802.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,026.04 / $2,778.28 / $2,778.28	Facility		$1,026.04	$2,778.28	$2,778.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,924.50 / $2,924.50 / $4,386.75	Professional		$2,924.50	$2,924.50	$4,386.75