Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $1,166.78	Facility		$574.91	$574.91	$1,166.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.88 / $574.91 / $574.91	Professional		$328.88	$574.91	$574.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.29 / $743.16 / $1,411.10	Facility		$619.29	$743.16	$1,411.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.30 / $579.34 / $579.34	Professional		$440.30	$579.34	$579.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $477.82	Facility		$389.66	$389.66	$477.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.66 / $723.00	Professional		$284.45	$389.66	$723.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.84 / $574.91 / $869.87	Facility		$200.84	$574.91	$869.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $434.00 / $542.00	Professional		$434.00	$434.00	$542.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $748.30 / $748.30 / $1,150.59	Professional		$748.30	$748.30	$1,150.59
United Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $385.37 / $544.11	Professional		$296.08	$385.37	$544.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,247.19 / $3,225.13 / $3,225.13	Facility		$1,247.19	$3,225.13	$3,225.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,687.45 / $3,687.45 / $4,676.93	Professional		$3,687.45	$3,687.45	$4,676.93