Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.67 / $748.80 / $1,508.82	Facility		$589.67	$748.80	$1,508.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $748.80 / $795.60	Professional		$561.60	$748.80	$795.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,585.62 / $2,267.26 / $2,557.01	Facility		$1,585.62	$2,267.26	$2,557.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $795.60 / $1,684.80	Professional		$421.20	$795.60	$1,684.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.22 / $1,737.40 / $2,457.15	Facility		$711.22	$1,737.40	$2,457.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.23 / $694.96 / $1,363.47	Professional		$434.23	$694.96	$1,363.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $887.33 / $1,123.20	Facility		$561.60	$887.33	$1,123.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $871.36 / $936.00 / $936.00	Professional		$871.36	$936.00	$936.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $936.00 / $1,792.44	Professional		$608.40	$936.00	$1,792.44
United Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $486.72 / $936.00	Professional		$468.00	$486.72	$936.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,446.00 / $4,446.00	Facility		$1,497.60	$4,446.00	$4,446.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,680.00 / $4,680.00 / $7,020.00	Professional		$4,680.00	$4,680.00	$7,020.00