Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.25 / $919.20 / $1,585.71	Facility		$592.25	$919.20	$1,585.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.17 / $919.20 / $919.20	Professional		$448.17	$919.20	$919.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.66 / $1,009.99 / $1,917.68	Facility		$841.66	$1,009.99	$1,917.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.36 / $787.31 / $787.31	Professional		$598.36	$787.31	$787.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $649.37	Facility		$620.97	$620.97	$649.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $620.97 / $1,152.00	Professional		$453.31	$620.97	$1,152.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.07 / $919.20 / $1,223.41	Facility		$320.07	$919.20	$1,223.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $590.00 / $728.00	Professional		$590.00	$590.00	$728.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.30 / $1,555.30 / $2,391.30	Professional		$1,555.30	$1,555.30	$2,391.30
United Facility/Professional Professional Modifier Low / Median / High Price $402.37 / $523.71 / $759.38	Professional		$402.37	$523.71	$759.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,944.09 / $6,293.94 / $6,293.94	Facility		$1,944.09	$6,293.94	$6,293.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,788.79 / $6,788.79 / $9,720.45	Professional		$6,788.79	$6,788.79	$9,720.45