Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $1,348.96	Facility		$323.59	$562.34	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $389.05	Professional		$162.18	$316.23	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $1,122.02	Facility		$549.54	$741.31	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $446.68	Professional		$100.00	$181.97	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $645.65 / $1,071.52	Facility		$275.42	$645.65	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $562.34	Facility		$194.98	$354.81	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Professional		$616.60	$616.60	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $288.40 / $407.38	Facility		$147.91	$288.40	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $371.54	Professional		$123.03	$147.91	$371.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,090.30	Professional		$2,041.74	$2,041.74	$3,090.30