Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.32 / $642.32 / $1,303.58	Facility		$642.32	$642.32	$1,303.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.07 / $642.32 / $642.32	Professional		$386.07	$642.32	$642.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.92 / $830.30 / $1,576.51	Facility		$691.92	$830.30	$1,576.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $647.25 / $647.25	Professional		$491.91	$647.25	$647.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.84 / $582.20 / $582.20	Facility		$533.84	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $1,043.25	Professional		$425.01	$582.20	$1,043.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $642.32 / $1,022.43	Facility		$277.95	$642.32	$1,022.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $485.00 / $606.00	Professional		$485.00	$485.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.59 / $1,035.59 / $1,592.30	Professional		$1,035.59	$1,035.59	$1,592.30
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $358.79 / $430.54 / $675.45	Professional		$358.79	$430.54	$675.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,725.99 / $5,042.08 / $5,042.08	Facility		$1,725.99	$5,042.08	$5,042.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,695.77 / $5,695.77 / $6,472.50	Professional		$5,695.77	$5,695.77	$6,472.50