Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.23 / $571.23 / $1,159.29	Facility		$571.23	$571.23	$1,159.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.57 / $571.23 / $571.23	Professional		$372.57	$571.23	$571.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.32 / $738.38 / $1,402.03	Facility		$615.32	$738.38	$1,402.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.46 / $575.60 / $575.60	Professional		$437.46	$575.60	$575.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.74 / $572.20 / $572.20	Facility		$474.74	$572.20	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $572.20 / $1,025.25	Professional		$417.71	$572.20	$1,025.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $247.19 / $571.23 / $864.29	Facility		$247.19	$571.23	$864.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $539.00	Professional		$432.00	$432.00	$539.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.80 / $1,222.80 / $1,888.10	Professional		$1,222.80	$1,222.80	$1,888.10
United Facility/Professional Professional Modifier Low / Median / High Price $319.07 / $382.88 / $600.67	Professional		$319.07	$382.88	$600.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,534.95 / $4,423.43 / $4,423.43	Facility		$1,534.95	$4,423.43	$4,423.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,096.03 / $5,096.03 / $7,674.75	Professional		$5,096.03	$5,096.03	$7,674.75