Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.99 / $743.99 / $1,283.43	Facility		$743.99	$743.99	$1,283.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $743.99 / $743.99	Professional		$349.91	$743.99	$743.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.21 / $817.45 / $1,552.16	Facility		$681.21	$817.45	$1,552.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.53 / $637.25 / $679.73	Professional		$591.53	$637.25	$679.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $525.55	Facility		$454.00	$454.00	$525.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $1,123.13	Professional		$331.42	$454.00	$1,123.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $743.99 / $967.19	Facility		$234.00	$743.99	$967.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.00 / $478.00 / $577.70	Professional		$478.00	$478.00	$577.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $871.90 / $1,340.50 / $1,454.04	Professional		$871.90	$1,340.50	$1,454.04
United Facility/Professional Professional Modifier Low / Median / High Price $302.06 / $420.11 / $598.50	Professional		$302.06	$420.11	$598.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,327.60 / $4,562.52 / $4,562.52	Facility		$1,327.60	$4,562.52	$4,562.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,610.54 / $4,610.54 / $5,449.13	Professional		$4,610.54	$4,610.54	$5,449.13