Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.11 / $717.60 / $1,445.94	Facility		$565.11	$717.60	$1,445.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.51 / $717.60 / $950.82	Professional		$596.51	$717.60	$950.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.54 / $2,172.78 / $2,450.48	Facility		$1,519.54	$2,172.78	$2,450.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.65 / $762.45 / $1,614.60	Professional		$403.65	$762.45	$1,614.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.20 / $1,248.60 / $2,354.85	Facility		$612.20	$1,248.60	$2,354.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $665.93 / $1,307.04	Professional		$275.00	$665.93	$1,307.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $807.30 / $1,031.55	Facility		$448.50	$807.30	$1,031.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $897.00 / $897.00	Professional		$583.04	$897.00	$897.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $897.00 / $1,717.76	Professional		$583.04	$897.00	$1,717.76
United Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $538.20 / $897.00	Professional		$448.50	$538.20	$897.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,560.78 / $4,260.75 / $4,260.75	Facility		$1,560.78	$4,260.75	$4,260.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,485.00 / $4,485.00 / $6,727.50	Professional		$4,485.00	$4,485.00	$6,727.50