Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.52 / $828.52 / $1,429.27	Facility		$828.52	$828.52	$1,429.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $828.52 / $828.52	Professional		$380.94	$828.52	$828.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $861.99 / $1,403.54 / $1,728.50	Facility		$861.99	$1,403.54	$1,728.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.69 / $709.65 / $756.96	Professional		$638.69	$709.65	$756.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $585.30	Facility		$494.25	$494.25	$585.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $916.88	Professional		$360.80	$494.25	$916.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $824.28 / $1,077.08	Facility		$254.75	$824.28	$1,077.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $532.00 / $643.36	Professional		$532.00	$532.00	$643.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $949.20 / $949.20 / $1,459.40	Professional		$949.20	$949.20	$1,459.40
United Facility/Professional Professional Modifier Low / Median / High Price $328.85 / $460.38 / $666.51	Professional		$328.85	$460.38	$666.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,478.43 / $5,009.54 / $5,009.54	Facility		$1,478.43	$5,009.54	$5,009.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,062.27 / $5,062.27 / $5,932.35	Professional		$5,062.27	$5,062.27	$5,932.35