Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.85 / $636.00 / $1,281.52	Facility		$500.85	$636.00	$1,281.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.50 / $636.00 / $825.00	Professional		$556.50	$636.00	$825.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,346.76 / $1,658.57 / $2,033.75	Facility		$1,346.76	$1,658.57	$2,033.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $755.00 / $1,272.00	Professional		$357.75	$755.00	$1,272.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $708.47 / $2,087.07	Facility		$628.37	$708.47	$2,087.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $698.00 / $1,158.08	Professional		$368.82	$698.00	$1,158.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $715.50 / $914.25	Facility		$397.50	$715.50	$914.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $795.00 / $795.00	Professional		$200.00	$795.00	$795.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $516.75 / $795.00 / $1,522.42	Professional		$516.75	$795.00	$1,522.42
United Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $477.00 / $795.00	Professional		$397.50	$477.00	$795.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,776.25 / $3,776.25	Facility		$1,272.00	$3,776.25	$3,776.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,975.00 / $3,975.00 / $5,962.50	Professional		$3,975.00	$3,975.00	$5,962.50