Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.66 / $837.66 / $837.66	Facility		$837.66	$837.66	$837.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.21 / $837.66 / $1,120.00	Professional		$418.21	$837.66	$1,120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.36 / $1,419.03 / $1,747.58	Facility		$1,153.36	$1,419.03	$1,747.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.20 / $757.54 / $833.29	Professional		$703.20	$757.54	$833.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $758.68 / $882.75	Professional		$553.84	$758.68	$882.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $837.66 / $1,005.19	Facility		$249.06	$837.66	$1,005.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $973.32 / $973.32 / $973.32	Professional		$973.32	$973.32	$973.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $817.60 / $1,277.29 / $1,338.00	Professional		$817.60	$1,277.29	$1,338.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.74 / $620.41 / $875.99	Professional		$473.74	$620.41	$875.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,206.26 / $3,377.04 / $3,377.04	Facility		$1,206.26	$3,377.04	$3,377.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,160.64 / $5,160.64 / $5,160.64	Professional		$5,160.64	$5,160.64	$5,160.64