Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.47 / $400.00 / $400.00	Professional		$199.47	$400.00	$400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.39 / $677.61 / $834.50	Facility		$538.39	$677.61	$834.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.55 / $358.25 / $394.08	Professional		$332.55	$358.25	$394.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $426.00	Professional		$278.88	$382.03	$426.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $400.00 / $480.00	Facility		$120.22	$400.00	$480.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $454.34 / $454.34 / $454.34	Professional		$454.34	$454.34	$454.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $394.60 / $394.60 / $394.60	Professional		$394.60	$394.60	$394.60
United Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $287.02 / $411.06	Professional		$193.08	$287.02	$411.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $582.22 / $1,660.98 / $1,660.98	Facility		$582.22	$1,660.98	$1,660.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,650.28 / $2,650.28 / $2,650.28	Professional		$2,650.28	$2,650.28	$2,650.28