Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.13 / $610.13 / $1,052.48	Facility		$610.13	$610.13	$1,052.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.48 / $610.13 / $610.13	Professional		$297.48	$610.13	$610.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.74 / $1,033.58 / $1,272.89	Facility		$634.74	$1,033.58	$1,272.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.10 / $522.59 / $557.41	Professional		$485.10	$522.59	$557.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.84 / $803.25	Professional		$282.39	$386.84	$803.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $610.13 / $793.17	Facility		$199.39	$610.13	$793.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $473.76	Professional		$390.00	$390.00	$473.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $717.87 / $888.40 / $1,192.42	Professional		$717.87	$888.40	$1,192.42
United Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $347.62 / $535.65	Professional		$257.38	$347.62	$535.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,088.72 / $3,239.07 / $3,239.07	Facility		$1,088.72	$3,239.07	$3,239.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,488.94 / $3,488.94 / $5,072.93	Professional		$3,488.94	$3,488.94	$5,072.93