Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.69 / $723.69 / $1,248.45	Facility		$723.69	$723.69	$1,248.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.91 / $723.69 / $723.69	Professional		$345.91	$723.69	$723.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.92 / $1,225.96 / $1,509.80	Facility		$752.92	$1,225.96	$1,509.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.87 / $619.85 / $661.18	Professional		$557.87	$619.85	$661.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $512.80	Facility		$512.80	$512.80	$512.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $512.80 / $919.13	Professional		$374.35	$512.80	$919.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.33 / $723.69 / $940.80	Facility		$231.33	$723.69	$940.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $462.00 / $561.96	Professional		$462.00	$462.00	$561.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.90 / $1,004.90 / $1,545.10	Professional		$1,004.90	$1,004.90	$1,545.10
United Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $408.64 / $597.86	Professional		$296.58	$408.64	$597.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,291.35 / $4,548.97 / $4,548.97	Facility		$1,291.35	$4,548.97	$4,548.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,543.37 / $5,543.37 / $6,280.80	Professional		$5,543.37	$5,543.37	$6,280.80