Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.29 / $600.29 / $1,035.57	Facility		$600.29	$600.29	$1,035.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.69 / $600.29 / $600.29	Professional		$292.69	$600.29	$600.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.64 / $659.57 / $1,252.38	Facility		$549.64	$659.57	$1,252.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.76 / $514.17 / $548.46	Professional		$462.76	$514.17	$548.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $790.50	Professional		$277.86	$380.63	$790.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $600.29 / $780.39	Facility		$196.19	$600.29	$780.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $434.00 / $496.00	Professional		$434.00	$434.00	$496.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $798.70 / $1,228.00 / $1,312.87	Professional		$798.70	$1,228.00	$1,312.87
United Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $342.02 / $536.57	Professional		$253.25	$342.02	$536.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,071.20 / $3,175.29 / $3,175.29	Facility		$1,071.20	$3,175.29	$3,175.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,432.91 / $4,991.63 / $4,991.63	Professional		$3,432.91	$4,991.63	$4,991.63