Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.80 / $940.80 / $1,622.91	Facility		$940.80	$940.80	$1,622.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.17 / $940.80 / $940.80	Professional		$421.17	$940.80	$940.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $978.77 / $1,593.74 / $1,962.74	Facility		$978.77	$1,593.74	$1,962.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.23 / $805.82 / $859.54	Professional		$725.23	$805.82	$859.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $664.60	Facility		$565.73	$565.73	$664.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $565.73 / $1,014.00	Professional		$412.98	$565.73	$1,014.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.66 / $935.94 / $1,223.04	Facility		$281.66	$935.94	$1,223.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $604.00 / $730.52	Professional		$604.00	$604.00	$730.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.95 / $1,369.89 / $1,838.68	Professional		$1,106.95	$1,369.89	$1,838.68
United Facility/Professional Professional Modifier Low / Median / High Price $361.11 / $510.07 / $756.82	Professional		$361.11	$510.07	$756.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,678.78 / $5,234.93 / $5,234.93	Facility		$1,678.78	$5,234.93	$5,234.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,290.03 / $5,290.03 / $7,425.83	Professional		$5,290.03	$5,290.03	$7,425.83