Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.45 / $505.45 / $1,025.80	Facility		$505.45	$505.45	$1,025.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $505.45 / $505.45	Professional		$303.80	$505.45	$505.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.67 / $1,007.36 / $1,240.58	Facility		$618.67	$1,007.36	$1,240.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.09 / $509.33 / $509.33	Professional		$387.09	$509.33	$509.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $436.96	Facility		$436.96	$436.96	$436.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $436.96 / $783.00	Professional		$318.98	$436.96	$783.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.58 / $505.45 / $764.76	Facility		$195.58	$505.45	$764.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $382.00 / $477.00	Professional		$382.00	$382.00	$477.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $807.00 / $1,240.80	Professional		$807.00	$807.00	$1,240.80
United Facility/Professional Professional Modifier Low / Median / High Price $260.30 / $338.80 / $491.25	Professional		$260.30	$338.80	$491.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,134.76 / $3,169.20 / $3,169.20	Facility		$1,134.76	$3,169.20	$3,169.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,390.18 / $3,390.18 / $5,043.68	Professional		$3,390.18	$3,390.18	$5,043.68