Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.73 / $670.73 / $1,157.04	Facility		$670.73	$670.73	$1,157.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $670.73 / $670.73	Professional		$327.02	$670.73	$670.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.82 / $1,136.23 / $1,399.30	Facility		$697.82	$1,136.23	$1,399.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $574.49 / $574.49	Professional		$436.61	$574.49	$574.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.82 / $550.80 / $550.80	Facility		$473.82	$550.80	$550.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $1,101.00	Professional		$402.09	$550.80	$1,101.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.70 / $670.73 / $907.49	Facility		$246.70	$670.73	$907.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $431.00 / $520.82	Professional		$431.00	$431.00	$520.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.30 / $1,179.30 / $1,813.30	Professional		$1,179.30	$1,179.30	$1,813.30
United Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $382.15 / $599.52	Professional		$293.60	$382.15	$599.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,474.17 / $4,851.27 / $4,851.27	Facility		$1,474.17	$4,851.27	$4,851.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,057.09 / $6,057.09 / $7,370.85	Professional		$6,057.09	$6,057.09	$7,370.85