Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.74 / $859.74 / $1,744.86	Facility		$859.74	$859.74	$1,744.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.75 / $859.74 / $859.74	Professional		$516.75	$859.74	$859.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.30 / $1,713.45 / $2,110.16	Facility		$1,052.30	$1,713.45	$2,110.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.42 / $866.34 / $866.34	Professional		$658.42	$866.34	$866.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.52 / $875.29 / $875.29	Facility		$714.52	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $875.29 / $1,568.63	Professional		$638.96	$875.29	$1,568.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $859.74 / $1,300.83	Facility		$349.02	$859.74	$1,300.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $811.00	Professional		$650.00	$650.00	$811.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,999.40	Professional		$1,300.00	$1,300.00	$1,999.40
United Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $578.73 / $904.08	Professional		$450.53	$578.73	$904.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,273.19 / $6,185.97 / $6,185.97	Facility		$2,273.19	$6,185.97	$6,185.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,301.80 / $6,301.80 / $8,127.53	Professional		$6,301.80	$6,301.80	$8,127.53