Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.43 / $503.01 / $1,119.98	Facility		$409.43	$503.01	$1,119.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $467.92 / $688.88	Professional		$388.96	$467.92	$688.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.25 / $2,121.15 / $2,121.15	Facility		$1,220.25	$2,121.15	$2,121.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $643.39 / $1,343.11	Professional		$526.41	$643.39	$1,343.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.44 / $814.10 / $1,535.50	Facility		$444.44	$814.10	$1,535.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.37 / $434.19 / $906.50	Professional		$271.37	$434.19	$906.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $722.10 / $970.93	Facility		$467.92	$722.10	$970.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $722.10	Professional		$380.19	$380.19	$722.10
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 / $361.05 / $722.10	Professional		$292.45	$361.05	$722.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $2,778.28 / $2,778.28	Facility		$1,017.73	$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