Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.28 / $698.28 / $1,204.58	Facility		$698.28	$698.28	$1,204.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.47 / $698.28 / $698.28	Professional		$340.47	$698.28	$698.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.37 / $767.24 / $1,456.79	Facility		$639.37	$767.24	$1,456.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.55 / $598.09 / $598.09	Professional		$454.55	$598.09	$598.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $493.29	Facility		$450.57	$450.57	$493.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $450.57 / $868.50	Professional		$328.92	$450.57	$868.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.24 / $698.28 / $907.76	Facility		$232.24	$698.28	$907.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $448.00 / $542.22	Professional		$448.00	$448.00	$542.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.40 / $1,147.40 / $1,773.90	Professional		$1,147.40	$1,147.40	$1,773.90
United Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $397.84 / $561.74	Professional		$299.77	$397.84	$561.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,442.15 / $4,566.79 / $4,566.79	Facility		$1,442.15	$4,566.79	$4,566.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,294.65 / $6,294.65 / $7,210.73	Professional		$6,294.65	$6,294.65	$7,210.73