Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.66 / $558.66 / $1,133.82	Facility		$558.66	$558.66	$1,133.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.79 / $558.66 / $558.66	Professional		$335.79	$558.66	$558.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.80 / $1,113.42 / $1,371.21	Facility		$683.80	$1,113.42	$1,371.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.58 / $562.96 / $562.97	Professional		$522.58	$562.96	$562.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.32 / $485.57 / $485.57	Facility		$464.32	$485.57	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $485.57 / $870.38	Professional		$354.47	$485.57	$870.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.75 / $558.66 / $845.30	Facility		$241.75	$558.66	$845.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $422.00 / $527.00	Professional		$422.00	$422.00	$527.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $939.00 / $939.00 / $1,443.70	Professional		$939.00	$939.00	$1,443.70
United Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $374.47 / $587.49	Professional		$287.70	$374.47	$587.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,589.42 / $4,753.89 / $4,753.89	Facility		$1,589.42	$4,753.89	$4,753.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,145.03 / $5,145.03 / $5,868.53	Professional		$5,145.03	$5,145.03	$5,868.53