Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.25 / $351.14 / $1,121.40	Facility		$307.25	$351.14	$1,121.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $351.14 / $541.04	Professional		$276.52	$351.14	$541.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.56 / $1,458.45 / $1,644.84	Facility		$743.56	$1,458.45	$1,644.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $702.89 / $1,629.94	Professional		$75.00	$702.89	$1,629.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.10 / $814.43 / $1,152.07	Facility		$560.10	$814.43	$1,152.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.68 / $510.12 / $1,498.36	Professional		$203.68	$510.12	$1,498.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $421.37 / $833.97	Facility		$276.52	$421.37	$833.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $453.96 / $602.10 / $1,500.00	Professional		$453.96	$602.10	$1,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $463.07 / $2,497.06	Professional		$438.93	$463.07	$2,497.06
United Facility/Professional Professional Modifier Low / Median / High Price $219.47 / $301.05 / $602.10	Professional		$219.47	$301.05	$602.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,034.16 / $6,193.76 / $6,193.76	Facility		$2,034.16	$6,193.76	$6,193.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62