Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.75 / $951.75 / $1,641.85	Facility		$951.75	$951.75	$1,641.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.86 / $951.75 / $951.75	Professional		$431.86	$951.75	$951.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.18 / $1,612.30 / $1,985.59	Facility		$990.18	$1,612.30	$1,985.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.71 / $815.19 / $869.54	Professional		$756.71	$815.19	$869.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $1,253.25	Professional		$512.48	$702.03	$1,253.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $951.75 / $1,237.28	Facility		$311.04	$951.75	$1,237.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $612.00 / $738.00	Professional		$612.00	$612.00	$738.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.83 / $1,385.83 / $1,860.08	Professional		$1,119.83	$1,385.83	$1,860.08
United Facility/Professional Professional Modifier Low / Median / High Price $398.78 / $537.41 / $765.63	Professional		$398.78	$537.41	$765.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,698.32 / $5,034.28 / $5,034.28	Facility		$1,698.32	$5,034.28	$5,034.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,442.94 / $5,442.94 / $7,913.70	Professional		$5,442.94	$5,442.94	$7,913.70