Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.83 / $869.83 / $1,500.53	Facility		$869.83	$869.83	$1,500.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.19 / $869.83 / $869.83	Professional		$455.19	$869.83	$869.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.43 / $955.72 / $1,814.68	Facility		$796.43	$955.72	$1,814.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.58 / $745.03 / $745.03	Professional		$691.58	$745.03	$745.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $1,145.25	Professional		$402.62	$551.53	$1,145.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $869.83 / $1,193.25	Facility		$284.27	$869.83	$1,193.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $726.90 / $726.90 / $726.90	Professional		$726.90	$726.90	$726.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.30 / $1,157.30 / $1,779.40	Professional		$1,157.30	$1,157.30	$1,779.40
United Facility/Professional Professional Modifier Low / Median / High Price $364.46 / $491.16 / $718.59	Professional		$364.46	$491.16	$718.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,552.14 / $4,601.05 / $4,601.05	Facility		$1,552.14	$4,601.05	$4,601.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,974.32 / $7,232.93 / $7,232.93	Professional		$4,974.32	$7,232.93	$7,232.93