Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.43 / $811.43 / $811.43	Facility		$811.43	$811.43	$811.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $811.43 / $811.43	Professional		$326.30	$811.43	$811.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.43 / $1,374.59 / $1,692.84	Facility		$1,117.43	$1,374.59	$1,692.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.22 / $733.86 / $807.25	Professional		$681.22	$733.86	$807.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $1,068.75	Professional		$537.70	$537.70	$1,068.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $811.43 / $973.72	Facility		$241.25	$811.43	$973.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $942.99 / $942.99 / $942.99	Professional		$942.99	$942.99	$942.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $791.90 / $791.90 / $791.90	Professional		$791.90	$791.90	$791.90
United Facility/Professional Professional Modifier Low / Median / High Price $400.72 / $595.71 / $848.69	Professional		$400.72	$595.71	$848.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,168.38 / $3,271.09 / $3,271.09	Facility		$1,168.38	$3,271.09	$3,271.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,999.22 / $4,999.22 / $4,999.22	Professional		$4,999.22	$4,999.22	$4,999.22