Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,024.88	Facility		$505.00	$505.00	$1,024.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $505.00 / $505.00	Professional		$303.52	$505.00	$505.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.98 / $652.78 / $1,239.48	Facility		$543.98	$652.78	$1,239.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.75 / $508.88 / $508.88	Professional		$386.75	$508.88	$508.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.70 / $472.30 / $472.30	Facility		$419.70	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $826.50	Professional		$344.78	$472.30	$826.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $505.00 / $764.07	Facility		$218.52	$505.00	$764.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $382.00 / $477.00	Professional		$382.00	$382.00	$477.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $814.20 / $814.20 / $1,251.90	Professional		$814.20	$814.20	$1,251.90
United Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $339.93 / $531.04	Professional		$282.08	$339.93	$531.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,609.32 / $4,297.14 / $4,297.14	Facility		$1,609.32	$4,297.14	$4,297.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,209.60 / $5,209.60 / $5,209.60	Professional		$5,209.60	$5,209.60	$5,209.60