Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.82 / $731.20 / $1,473.34	Facility		$575.82	$731.20	$1,473.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.80 / $731.20 / $968.84	Professional		$607.80	$731.20	$968.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,906.83 / $2,685.08 / $2,685.08	Facility		$1,906.83	$2,685.08	$2,685.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.30 / $859.25 / $1,462.40	Professional		$411.30	$859.25	$1,462.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.50 / $1,696.29 / $2,399.33	Facility		$694.50	$1,696.29	$2,399.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $804.86 / $1,331.44	Professional		$424.03	$804.86	$1,331.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $822.60 / $1,051.09	Facility		$457.00	$822.60	$1,051.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $914.00 / $914.00	Professional		$640.00	$914.00	$914.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $914.00 / $1,750.31	Professional		$594.10	$914.00	$1,750.31
United Facility/Professional Facility Modifier Low / Median / High Price $548.40 / $1,078.52 / $1,096.80	Facility		$548.40	$1,078.52	$1,096.80
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $475.28 / $914.00	Professional		$383.88	$475.28	$914.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,590.36 / $4,341.50 / $4,341.50	Facility		$1,590.36	$4,341.50	$4,341.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,570.00 / $4,570.00 / $6,855.00	Professional		$4,570.00	$4,570.00	$6,855.00