Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.66 / $703.37 / $1,846.71	Facility		$392.66	$703.37	$1,846.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.66 / $575.50 / $729.33	Professional		$392.66	$575.50	$729.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,037.98 / $1,278.30 / $1,557.62	Facility		$1,037.98	$1,278.30	$1,557.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.50 / $606.35 / $972.46	Professional		$535.50	$606.35	$972.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $575.50 / $789.72	Facility		$542.92	$575.50	$789.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $801.90	Professional		$575.50	$575.50	$801.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $392.66 / $529.52 / $882.09	Facility		$392.66	$529.52	$882.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $473.94 / $862.98 / $954.00	Professional		$473.94	$862.98	$954.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $899.37 / $920.80 / $1,102.08	Professional		$899.37	$920.80	$1,102.08
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $610.03 / $690.60	Professional		$575.50	$610.03	$690.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $765.52 / $3,478.85 / $3,478.85	Facility		$765.52	$3,478.85	$3,478.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,905.58 / $2,905.58 / $2,905.58	Professional		$2,905.58	$2,905.58	$2,905.58