Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.19 / $724.19 / $1,249.28	Facility		$724.19	$724.19	$1,249.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.10 / $724.19 / $724.19	Professional		$353.10	$724.19	$724.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.42 / $1,226.80 / $1,510.84	Facility		$753.42	$1,226.80	$1,510.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.41 / $620.28 / $620.28	Professional		$471.41	$620.28	$620.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.59 / $626.01 / $626.01	Facility		$511.59	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $626.01 / $1,122.00	Professional		$456.99	$626.01	$1,122.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.51 / $724.19 / $941.45	Facility		$243.51	$724.19	$941.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $465.00 / $562.33	Professional		$465.00	$465.00	$562.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.90 / $1,069.90 / $1,645.00	Professional		$1,069.90	$1,069.90	$1,645.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $408.92 / $598.27	Professional		$312.20	$408.92	$598.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,337.36 / $4,788.43 / $4,788.43	Facility		$1,337.36	$4,788.43	$4,788.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,322.56 / $5,322.56 / $6,686.78	Professional		$5,322.56	$5,322.56	$6,686.78