Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.45 / $946.44 / $1,972.15	Facility		$276.45	$946.44	$1,972.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $276.45 / $407.00	Professional		$229.80	$276.45	$407.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $1,388.06 / $1,388.06	Facility		$720.94	$1,388.06	$1,388.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $423.43 / $605.60	Professional		$155.51	$423.43	$605.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.58 / $481.24 / $907.42	Facility		$262.58	$481.24	$907.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.28 / $319.31 / $503.29	Professional		$160.28	$319.31	$503.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $276.45 / $471.44 / $573.65	Facility		$276.45	$471.44	$573.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.31 / $277.31 / $471.44	Professional		$277.31	$277.31	$471.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.62 / $345.57 / $661.77	Professional		$224.62	$345.57	$661.77
United Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $235.72 / $471.44	Professional		$172.79	$235.72	$471.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $601.29 / $1,641.46 / $1,641.46	Facility		$601.29	$1,641.46	$1,641.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,727.85 / $1,727.85 / $2,591.78	Professional		$1,727.85	$1,727.85	$2,591.78