Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.62 / $814.62 / $1,405.29	Facility		$814.62	$814.62	$1,405.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.18 / $814.62 / $814.62	Professional		$397.18	$814.62	$814.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.52 / $1,379.99 / $1,699.50	Facility		$847.52	$1,379.99	$1,699.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.67 / $697.73 / $744.25	Professional		$647.67	$697.73	$744.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $576.88 / $1,072.88	Professional		$421.12	$576.88	$1,072.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $814.62 / $1,059.01	Facility		$266.24	$814.62	$1,059.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $652.70 / $652.70 / $652.70	Professional		$652.70	$652.70	$652.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.80 / $1,083.80 / $1,666.40	Professional		$1,083.80	$1,083.80	$1,666.40
United Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $459.98 / $672.98	Professional		$343.66	$459.98	$672.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,453.62 / $4,308.97 / $4,308.97	Facility		$1,453.62	$4,308.97	$4,308.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,658.79 / $6,773.70 / $6,773.70	Professional		$4,658.79	$6,773.70	$6,773.70