Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.23 / $833.23 / $1,437.39	Facility		$833.23	$833.23	$1,437.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.63 / $833.23 / $833.23	Professional		$395.63	$833.23	$833.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.93 / $915.51 / $1,738.33	Facility		$762.93	$915.51	$1,738.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.39 / $713.68 / $713.68	Professional		$542.39	$713.68	$713.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $588.61	Facility		$511.34	$511.34	$588.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $1,126.50	Professional		$373.28	$511.34	$1,126.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.57 / $833.23 / $1,083.20	Facility		$263.57	$833.23	$1,083.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $535.00 / $647.02	Professional		$535.00	$535.00	$647.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.00 / $1,143.00 / $1,757.40	Professional		$1,143.00	$1,143.00	$1,757.40
United Facility/Professional Facility Modifier Low / Median / High Price $314.56 / $399.21 / $462.96	Facility		$314.56	$399.21	$462.96
United Facility/Professional Professional Modifier Low / Median / High Price $340.22 / $470.50 / $670.29	Professional		$340.22	$470.50	$670.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,486.83 / $5,182.72 / $5,182.72	Facility		$1,486.83	$5,182.72	$5,182.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,237.28 / $5,237.28 / $7,143.60	Professional		$5,237.28	$5,237.28	$7,143.60