Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.51 / $982.51 / $3,627.11	Facility		$982.51	$982.51	$3,627.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.41 / $982.51 / $982.51	Professional		$529.41	$982.51	$982.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $899.62 / $1,079.54 / $2,049.75	Facility		$899.62	$1,079.54	$2,049.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.18 / $841.55 / $897.65	Professional		$781.18	$841.55	$897.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.08 / $700.00 / $700.00	Facility		$694.08	$700.00	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $1,308.75	Professional		$511.00	$700.00	$1,308.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $982.51 / $1,277.26	Facility		$330.98	$982.51	$1,277.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $631.00 / $762.93	Professional		$631.00	$631.00	$762.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,644.00 / $1,644.00 / $2,528.10	Professional		$1,644.00	$1,644.00	$2,528.10
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.34 / $559.78 / $811.68	Professional		$424.34	$559.78	$811.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,055.35 / $6,508.59 / $6,508.59	Facility		$2,055.35	$6,508.59	$6,508.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,141.10 / $7,141.10 / $10,276.73	Professional		$7,141.10	$7,141.10	$10,276.73