Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.52 / $651.52 / $1,322.24	Facility		$651.52	$651.52	$1,322.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.59 / $651.52 / $651.52	Professional		$391.59	$651.52	$651.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.82 / $842.19 / $1,599.09	Facility		$701.82	$842.19	$1,599.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $656.52 / $656.52	Professional		$498.96	$656.52	$656.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.47 / $612.94 / $612.94	Facility		$541.47	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $1,098.38	Professional		$447.45	$612.94	$1,098.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.93 / $651.52 / $985.77	Facility		$281.93	$651.52	$985.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $492.00 / $615.00	Professional		$492.00	$492.00	$615.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.40 / $1,050.40 / $1,615.10	Professional		$1,050.40	$1,050.40	$1,615.10
United Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $577.08 / $672.95	Facility		$336.48	$577.08	$672.95
United Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $436.70 / $672.95	Professional		$363.92	$436.70	$672.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,105.06 / $5,543.92 / $5,543.92	Facility		$2,105.06	$5,543.92	$5,543.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,814.49 / $6,814.49 / $6,814.49	Professional		$6,814.49	$6,814.49	$6,814.49