Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.13 / $610.13 / $610.13	Facility		$610.13	$610.13	$610.13
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 $646.24 / $1,033.58 / $1,272.89	Facility		$646.24	$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 $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $803.25	Professional		$319.38	$437.50	$803.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $453.43 / $610.13 / $732.16	Facility		$453.43	$610.13	$732.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $545.34 / $545.34 / $545.34	Professional		$545.34	$545.34	$545.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $680.45 / $870.98 / $1,192.42	Professional		$680.45	$870.98	$1,192.42
United Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $344.51 / $516.83	Professional		$257.38	$344.51	$516.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,164.24 / $3,239.07 / $3,239.07	Facility		$1,164.24	$3,239.07	$3,239.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,488.94 / $5,072.93 / $5,072.93	Professional		$3,488.94	$5,072.93	$5,072.93