Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.61 / $855.61 / $1,736.40	Facility		$855.61	$855.61	$1,736.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.24 / $855.61 / $855.61	Professional		$577.24	$855.61	$855.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.21 / $1,705.21 / $2,100.01	Facility		$1,047.21	$1,705.21	$2,100.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.25 / $862.17 / $862.17	Professional		$655.25	$862.17	$862.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.07 / $895.43 / $895.43	Facility		$711.07	$895.43	$895.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $1,604.63	Professional		$653.66	$895.43	$1,604.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $855.61 / $1,294.53	Facility		$359.09	$855.61	$1,294.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $646.00 / $807.00	Professional		$646.00	$646.00	$807.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.90 / $1,501.90 / $2,309.19	Professional		$1,501.90	$1,501.90	$2,309.19
United Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $573.50 / $863.67	Professional		$463.53	$573.50	$863.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,325.48 / $5,814.95 / $5,814.95	Facility		$2,325.48	$5,814.95	$5,814.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,228.99 / $6,228.99 / $9,386.78	Professional		$6,228.99	$6,228.99	$9,386.78