Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.86 / $596.86 / $1,029.64	Facility		$596.86	$596.86	$1,029.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.50 / $596.86 / $596.86	Professional		$296.50	$596.86	$596.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.49 / $655.79 / $1,245.21	Facility		$546.49	$655.79	$1,245.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.56 / $511.23 / $562.35	Professional		$474.56	$511.23	$562.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $419.48	Facility		$419.48	$419.48	$419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $419.48 / $786.00	Professional		$306.22	$419.48	$786.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $596.86 / $775.92	Facility		$195.06	$596.86	$775.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $463.48	Professional		$410.00	$410.00	$463.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $665.66 / $794.10 / $1,220.90	Professional		$665.66	$794.10	$1,220.90
United Facility/Professional Professional Modifier Low / Median / High Price $250.08 / $337.03 / $493.09	Professional		$250.08	$337.03	$493.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,065.06 / $3,157.08 / $3,157.08	Facility		$1,065.06	$3,157.08	$3,157.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,413.19 / $3,413.19 / $4,962.89	Professional		$3,413.19	$3,413.19	$4,962.89