Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.64 / $527.64 / $1,070.83	Facility		$527.64	$527.64	$1,070.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.13 / $527.64 / $527.64	Professional		$317.13	$527.64	$527.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.38 / $682.06 / $1,295.04	Facility		$568.38	$682.06	$1,295.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.08 / $531.67 / $531.67	Professional		$404.08	$531.67	$531.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $438.52 / $458.59 / $458.59	Facility		$438.52	$458.59	$458.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $458.59 / $822.00	Professional		$334.77	$458.59	$822.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $527.64 / $839.87	Facility		$228.32	$527.64	$839.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $498.00	Professional		$399.00	$399.00	$498.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $850.70 / $850.70 / $1,308.00	Professional		$850.70	$850.70	$1,308.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $353.67 / $554.85	Professional		$271.72	$353.67	$554.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,395.33 / $3,780.88 / $3,780.88	Facility		$1,395.33	$3,780.88	$3,780.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,707.20 / $4,707.20 / $5,316.83	Professional		$4,707.20	$4,707.20	$5,316.83