Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.33 / $963.81 / $1,445.00	Facility		$478.33	$963.81	$1,445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $478.33 / $576.57	Professional		$448.43	$478.33	$576.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.87 / $1,247.38 / $1,448.60	Facility		$1,012.87	$1,247.38	$1,448.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $394.63 / $956.66	Professional		$269.06	$394.63	$956.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.32 / $1,109.88 / $1,569.30	Facility		$454.32	$1,109.88	$1,569.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.47 / $560.66 / $871.36	Professional		$277.47	$560.66	$871.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $478.33 / $992.53	Facility		$83.55	$478.33	$992.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $83.55 / $3,200.00	Professional		$83.55	$83.55	$3,200.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $597.91 / $1,145.00	Professional		$388.64	$597.91	$1,145.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $269.06 / $597.91	Professional		$43.58	$269.06	$597.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,464.88 / $3,191.10 / $3,191.10	Facility		$1,464.88	$3,191.10	$3,191.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33