Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $519.91 / $1,055.15	Facility		$519.91	$519.91	$1,055.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.49 / $519.91 / $519.91	Professional		$312.49	$519.91	$519.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.35 / $1,036.18 / $1,276.08	Facility		$636.35	$1,036.18	$1,276.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.32 / $523.90 / $523.91	Professional		$486.32	$523.90	$523.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.10 / $555.76 / $555.76	Facility		$432.10	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $555.76 / $946.50	Professional		$405.70	$555.76	$946.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $519.91 / $786.65	Facility		$224.98	$519.91	$786.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $393.00 / $491.00	Professional		$393.00	$393.00	$491.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $837.30 / $837.30 / $1,288.80	Professional		$837.30	$837.30	$1,288.80
United Facility/Professional Professional Modifier Low / Median / High Price $290.41 / $348.49 / $546.72	Professional		$290.41	$348.49	$546.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,371.69 / $3,725.56 / $3,725.56	Facility		$1,371.69	$3,725.56	$3,725.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,638.32 / $4,638.32 / $5,239.05	Professional		$4,638.32	$4,638.32	$5,239.05