Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.37 / $520.79 / $1,379.48	Facility		$228.37	$520.79	$1,379.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $799.66 / $799.66	Professional		$326.08	$799.66	$799.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.96 / $1,354.65 / $1,668.29	Facility		$831.96	$1,354.65	$1,668.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.54 / $684.93 / $684.93	Professional		$520.54	$684.93	$684.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $564.91	Facility		$460.00	$460.00	$564.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $962.25	Professional		$335.80	$460.00	$962.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $763.73 / $1,039.56	Facility		$220.60	$763.73	$1,039.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $514.00 / $608.46	Professional		$514.00	$514.00	$608.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $940.88 / $1,164.39 / $1,562.86	Professional		$940.88	$1,164.39	$1,562.86
United Facility/Professional Professional Modifier Low / Median / High Price $303.74 / $433.55 / $643.29	Professional		$303.74	$433.55	$643.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,426.93 / $3,884.93 / $3,884.93	Facility		$1,426.93	$3,884.93	$3,884.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,383.55 / $4,383.55 / $6,849.30	Professional		$4,383.55	$4,383.55	$6,849.30