Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.88 / $593.88 / $1,024.48	Facility		$593.88	$593.88	$1,024.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.81 / $593.88 / $593.88	Professional		$251.81	$593.88	$593.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.77 / $652.52 / $1,238.97	Facility		$543.77	$652.52	$1,238.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.59 / $508.67 / $508.67	Professional		$386.59	$508.67	$508.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $419.53	Facility		$373.35	$373.35	$419.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $373.35 / $606.00	Professional		$272.55	$373.35	$606.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $590.83 / $772.04	Facility		$168.40	$590.83	$772.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $381.00 / $461.15	Professional		$381.00	$381.00	$461.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $719.90 / $719.90 / $1,106.90	Professional		$719.90	$719.90	$1,106.90
United Facility/Professional Professional Modifier Low / Median / High Price $217.38 / $321.98 / $490.62	Professional		$217.38	$321.98	$490.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,059.73 / $3,311.46 / $3,311.46	Facility		$1,059.73	$3,311.46	$3,311.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,739.59 / $3,739.59 / $4,499.33	Professional		$3,739.59	$3,739.59	$4,499.33