Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.20 / $861.20 / $1,747.82	Facility		$861.20	$861.20	$1,747.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.05 / $861.20 / $861.20	Professional		$544.05	$861.20	$861.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.08 / $1,716.37 / $2,113.75	Facility		$1,054.08	$1,716.37	$2,113.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.54 / $867.81 / $867.81	Professional		$659.54	$867.81	$867.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.75 / $930.44 / $930.44	Facility		$715.75	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $930.44 / $1,618.88	Professional		$679.22	$930.44	$1,618.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.67 / $861.20 / $1,370.85	Facility		$372.67	$861.20	$1,370.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $651.00 / $812.00	Professional		$651.00	$651.00	$812.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.20 / $1,843.20 / $2,834.00	Professional		$1,843.20	$1,843.20	$2,834.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.51 / $579.71 / $889.53	Professional		$443.51	$579.71	$889.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,345.71 / $6,077.59 / $6,077.59	Facility		$2,345.71	$6,077.59	$6,077.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,636.71 / $7,636.71 / $11,520.08	Professional		$7,636.71	$7,636.71	$11,520.08