Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.48 / $840.48 / $14,764.44	Facility		$840.48	$840.48	$14,764.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.66 / $840.48 / $840.48	Professional		$609.66	$840.48	$840.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.00 / $848.00 / $971.30	Facility		$848.00	$848.00	$971.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.72 / $642.72 / $890.78	Professional		$642.72	$642.72	$890.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $692.16 / $840.48 / $1,087.68	Facility		$692.16	$840.48	$1,087.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $692.16 / $692.16 / $1,568.80	Professional		$692.16	$692.16	$1,568.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.49 / $1,463.08 / $1,735.52	Professional		$1,399.49	$1,463.08	$1,735.52
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $807.99	Professional		$612.11	$612.11	$807.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $697.81 / $1,866.95 / $3,493.76	Facility		$697.81	$1,866.95	$3,493.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,757.44 / $3,757.44 / $4,449.60	Professional		$3,757.44	$3,757.44	$4,449.60