Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.94 / $988.94 / $1,705.97	Facility		$988.94	$988.94	$1,705.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.18 / $988.94 / $988.94	Professional		$482.18	$988.94	$988.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.84 / $1,675.29 / $2,063.17	Facility		$1,028.84	$1,675.29	$2,063.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.76 / $847.05 / $847.05	Professional		$643.76	$847.05	$847.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.60 / $732.96 / $732.96	Facility		$698.60	$732.96	$732.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $558.88 / $1,313.63	Professional		$535.05	$558.88	$1,313.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.63 / $988.94 / $1,285.61	Facility		$333.63	$988.94	$1,285.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $635.00 / $767.90	Professional		$635.00	$635.00	$767.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.58 / $1,439.99 / $1,932.77	Professional		$1,163.58	$1,439.99	$1,932.77
United Facility/Professional Professional Modifier Low / Median / High Price $427.73 / $558.41 / $816.99	Professional		$427.73	$558.41	$816.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,764.69 / $6,560.56 / $6,560.56	Facility		$1,764.69	$6,560.56	$6,560.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,629.62 / $6,629.62 / $8,743.73	Professional		$6,629.62	$6,629.62	$8,743.73