Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,398.83 / $2,511.89	Facility		$602.56	$2,398.83	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $758.58	Professional		$501.19	$602.56	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,344.23	Facility		$1,584.89	$2,290.87	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $1,202.26	Professional		$338.84	$691.83	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $1,995.26	Facility		$575.44	$1,202.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $1,096.48	Facility		$549.54	$691.83	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $933.25	Facility		$457.09	$891.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $831.76	Professional		$316.23	$457.09	$831.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,754.40	Professional		$3,801.89	$3,801.89	$5,754.40