Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.36 / $957.36 / $1,651.48	Facility		$957.36	$957.36	$1,651.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.78 / $957.36 / $957.36	Professional		$466.78	$957.36	$957.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.57 / $1,051.88 / $1,997.29	Facility		$876.57	$1,051.88	$1,997.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.18 / $820.01 / $874.67	Professional		$761.18	$820.01	$874.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $607.01	Facility		$607.01	$607.01	$607.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $701.00 / $961.77	Professional		$443.12	$701.00	$961.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $312.88 / $957.36 / $1,295.28	Facility		$312.88	$957.36	$1,295.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.03 / $800.03 / $800.03	Professional		$800.03	$800.03	$800.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.71 / $1,366.67 / $1,958.30	Professional		$1,067.71	$1,366.67	$1,958.30
United Facility/Professional Professional Modifier Low / Median / High Price $323.08 / $519.04 / $770.13	Professional		$323.08	$519.04	$770.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,708.34 / $5,063.85 / $5,063.85	Facility		$1,708.34	$5,063.85	$5,063.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,474.86 / $7,960.43 / $7,960.43	Professional		$5,474.86	$7,960.43	$7,960.43