Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $624.00 / $1,257.33	Facility		$491.40	$624.00	$1,257.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.70 / $624.00 / $853.09	Professional		$518.70	$624.00	$853.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.27 / $2,291.23 / $2,291.23	Facility		$1,627.27	$2,291.23	$2,291.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.00 / $780.00 / $1,677.00	Professional		$663.00	$780.00	$1,677.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.35 / $1,085.79 / $2,047.92	Facility		$532.35	$1,085.79	$2,047.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.57 / $579.09 / $1,136.23	Professional		$361.57	$579.09	$1,136.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $780.00 / $1,170.00	Facility		$624.00	$780.00	$1,170.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $1,170.00	Professional		$780.00	$780.00	$1,170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $780.00 / $1,493.70	Professional		$507.00	$780.00	$1,493.70
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $468.00 / $803.40	Professional		$390.00	$468.00	$803.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,357.20 / $3,705.00 / $3,705.00	Facility		$1,357.20	$3,705.00	$3,705.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,900.00 / $3,900.00 / $5,850.00	Professional		$3,900.00	$3,900.00	$5,850.00