Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,290.87 / $2,398.83	Facility		$575.44	$2,290.87	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $691.83	Professional		$478.63	$575.44	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $2,238.72	Facility		$1,412.54	$2,187.76	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $977.24	Professional		$436.52	$616.60	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,148.15 / $1,905.46	Facility		$489.78	$1,148.15	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $1,000.00	Facility		$524.81	$645.65	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $851.14 / $870.96	Facility		$436.52	$851.14	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $794.33	Professional		$302.00	$436.52	$794.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,370.32	Professional		$3,630.78	$3,630.78	$5,370.32