Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.39 / $754.39 / $1,301.39	Facility		$754.39	$754.39	$1,301.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.78 / $754.39 / $754.39	Professional		$394.78	$754.39	$754.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.85 / $1,277.97 / $1,573.85	Facility		$784.85	$1,277.97	$1,573.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.53 / $646.15 / $689.22	Professional		$581.53	$646.15	$689.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $532.94	Facility		$501.14	$501.14	$532.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $1,076.63	Professional		$365.83	$501.14	$1,076.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $754.39 / $980.71	Facility		$258.31	$754.39	$980.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $484.00 / $585.79	Professional		$484.00	$484.00	$585.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.20 / $1,150.20 / $1,768.40	Professional		$1,150.20	$1,150.20	$1,768.40
United Facility/Professional Professional Modifier Low / Median / High Price $328.01 / $429.81 / $623.22	Professional		$328.01	$429.81	$623.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,437.69 / $5,079.41 / $5,079.41	Facility		$1,437.69	$5,079.41	$5,079.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,786.55 / $5,786.55 / $7,188.45	Professional		$5,786.55	$5,786.55	$7,188.45