Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.01 / $946.01 / $1,631.92	Facility		$946.01	$946.01	$1,631.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.24 / $946.01 / $946.01	Professional		$461.24	$946.01	$946.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $984.21 / $1,602.57 / $1,973.61	Facility		$984.21	$1,602.57	$1,973.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.25 / $810.28 / $864.30	Professional		$729.25	$810.28	$864.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $695.41 / $1,245.75	Professional		$507.65	$695.41	$1,245.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.16 / $946.01 / $1,229.81	Facility		$309.16	$946.01	$1,229.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $604.00 / $719.82	Professional		$604.00	$604.00	$719.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.50 / $1,258.50 / $1,935.00	Professional		$1,258.50	$1,258.50	$1,935.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $538.98 / $781.52	Professional		$396.36	$538.98	$781.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,688.08 / $5,003.81 / $5,003.81	Facility		$1,688.08	$5,003.81	$5,003.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,409.92 / $5,409.92 / $7,865.78	Professional		$5,409.92	$5,409.92	$7,865.78