Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $1,445.44	Facility		$562.34	$691.83	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $831.76	Professional		$562.34	$691.83	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,348.96 / $1,513.56	Facility		$575.44	$1,348.96	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $794.33	Professional		$724.44	$724.44	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $977.24	Facility		$691.83	$691.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $776.25	Professional		$691.83	$691.83	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $1,023.29	Facility		$562.34	$691.83	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $933.25 / $1,096.48	Professional		$0.60	$933.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,174.90	Facility		$691.83	$1,047.13	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $758.58	Professional		$660.69	$724.44	$758.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03