Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.77 / $615.77 / $1,062.24	Facility		$615.77	$615.77	$1,062.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.23 / $615.77 / $615.77	Professional		$300.23	$615.77	$615.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.65 / $1,043.14 / $1,284.65	Facility		$640.65	$1,043.14	$1,284.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $527.41 / $527.41	Professional		$400.84	$527.41	$527.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $435.01	Facility		$408.71	$408.71	$435.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $851.25	Professional		$298.36	$408.71	$851.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $615.77 / $800.50	Facility		$210.66	$615.77	$800.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $395.00 / $478.14	Professional		$395.00	$395.00	$478.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.00 / $831.00 / $1,277.70	Professional		$831.00	$831.00	$1,277.70
United Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $350.83 / $499.35	Professional		$267.74	$350.83	$499.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,103.64 / $4,142.57 / $4,142.57	Facility		$1,103.64	$4,142.57	$4,142.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,183.24 / $5,183.24 / $5,193.97	Professional		$5,183.24	$5,183.24	$5,193.97