Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.49 / $626.49 / $1,080.74	Facility		$626.49	$626.49	$1,080.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.43 / $626.49 / $626.49	Professional		$258.43	$626.49	$626.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.79 / $1,061.29 / $1,307.01	Facility		$651.79	$1,061.29	$1,307.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.82 / $536.60 / $536.60	Professional		$407.82	$536.60	$536.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $442.57	Facility		$347.13	$347.13	$442.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $347.13 / $622.13	Professional		$253.40	$347.13	$622.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.83 / $626.49 / $814.44	Facility		$172.83	$626.49	$814.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $402.00 / $486.48	Professional		$402.00	$402.00	$486.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $641.00 / $641.00 / $990.10	Professional		$641.00	$641.00	$990.10
United Facility/Professional Professional Modifier Low / Median / High Price $223.09 / $335.99 / $503.98	Professional		$223.09	$335.99	$503.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,117.92 / $3,398.48 / $3,398.48	Facility		$1,117.92	$3,398.48	$3,398.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,981.91 / $4,981.91 / $4,981.91	Professional		$4,981.91	$4,981.91	$4,981.91