Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.36 / $764.36 / $1,318.60	Facility		$764.36	$764.36	$1,318.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $764.36 / $764.36	Professional		$401.32	$764.36	$764.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.88 / $839.86 / $1,594.65	Facility		$699.88	$839.86	$1,594.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $654.69 / $720.16	Professional		$607.73	$654.69	$720.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $579.51	Facility		$579.51	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $640.00 / $878.08	Professional		$423.04	$640.00	$878.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $764.36 / $1,143.00	Facility		$262.32	$764.36	$1,143.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $747.77 / $1,095.39 / $1,095.39	Professional		$747.77	$1,095.39	$1,095.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.50 / $1,245.50 / $1,915.00	Professional		$1,245.50	$1,245.50	$1,915.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.31 / $435.49 / $725.82	Professional		$336.31	$435.49	$725.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,556.84 / $4,930.17 / $4,930.17	Facility		$1,556.84	$4,930.17	$4,930.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,982.06 / $7,784.18 / $7,784.18	Professional		$4,982.06	$7,784.18	$7,784.18