Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.45 / $1,291.32 / $1,322.18	Facility		$766.45	$1,291.32	$1,322.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.70 / $766.45 / $949.00	Professional		$373.70	$766.45	$949.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.77 / $842.12 / $1,599.01	Facility		$701.77	$842.12	$1,599.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.38 / $656.48 / $700.24	Professional		$609.38	$656.48	$700.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $551.00 / $755.97	Professional		$356.63	$551.00	$755.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.26 / $766.45 / $1,085.65	Facility		$232.26	$766.45	$1,085.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $749.82 / $1,034.43 / $1,034.43	Professional		$749.82	$1,034.43	$1,034.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $989.60 / $989.60 / $1,521.60	Professional		$989.60	$989.60	$1,521.60
United Facility/Professional Professional Modifier Low / Median / High Price $299.81 / $432.79 / $675.00	Professional		$299.81	$432.79	$675.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,367.66 / $4,287.21 / $4,287.21	Facility		$1,367.66	$4,287.21	$4,287.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,332.34 / $6,185.25 / $6,185.25	Professional		$4,332.34	$6,185.25	$6,185.25