Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.78 / $795.78 / $1,372.77	Facility		$795.78	$795.78	$1,372.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.35 / $795.78 / $795.78	Professional		$465.35	$795.78	$795.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.64 / $874.37 / $1,660.19	Facility		$728.64	$874.37	$1,660.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.44 / $681.60 / $727.04	Professional		$613.44	$681.60	$727.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.16 / $567.88 / $567.88	Facility		$562.16	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $449.72 / $1,359.38	Professional		$414.55	$449.72	$1,359.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $795.78 / $1,034.51	Facility		$292.70	$795.78	$1,034.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $617.91	Professional		$511.00	$511.00	$617.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.40 / $1,452.40 / $2,235.69	Professional		$1,452.40	$1,452.40	$2,235.69
United Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $453.39 / $682.97	Professional		$348.34	$453.39	$682.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,817.61 / $4,877.45 / $4,877.45	Facility		$1,817.61	$4,877.45	$4,877.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,852.00 / $5,852.00 / $9,088.04	Professional		$5,852.00	$5,852.00	$9,088.04