Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.63 / $543.63 / $1,103.29	Facility		$543.63	$543.63	$1,103.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.81 / $543.63 / $543.63	Professional		$358.81	$543.63	$543.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.39 / $1,083.45 / $1,334.30	Facility		$665.39	$1,083.45	$1,334.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.33 / $547.80 / $547.80	Professional		$416.33	$547.80	$547.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.80 / $456.40 / $456.40	Facility		$451.80	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $911.63	Professional		$333.17	$456.40	$911.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $543.63 / $822.53	Facility		$235.24	$543.63	$822.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $411.00 / $513.00	Professional		$411.00	$411.00	$513.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $879.10 / $879.10 / $1,351.60	Professional		$879.10	$879.10	$1,351.60
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $364.39 / $571.66	Professional		$303.66	$364.39	$571.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,460.82 / $4,288.35 / $4,288.35	Facility		$1,460.82	$4,288.35	$4,288.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,333.49 / $4,333.49 / $5,494.13	Professional		$4,333.49	$4,333.49	$5,494.13