Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.62 / $836.62 / $1,697.93	Facility		$836.62	$836.62	$1,697.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.33 / $836.62 / $836.62	Professional		$564.33	$836.62	$836.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.00 / $1,667.37 / $2,053.41	Facility		$1,024.00	$1,667.37	$2,053.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.57 / $843.04 / $843.05	Professional		$782.57	$843.04	$843.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.31 / $702.38 / $702.38	Facility		$695.31	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $1,569.00	Professional		$512.74	$702.38	$1,569.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $836.62 / $1,265.83	Facility		$362.03	$836.62	$1,265.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $632.00 / $789.00	Professional		$632.00	$632.00	$789.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,468.30 / $1,468.30 / $2,257.60	Professional		$1,468.30	$1,468.30	$2,257.60
United Facility/Professional Professional Modifier Low / Median / High Price $430.85 / $560.78 / $879.77	Professional		$430.85	$560.78	$879.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,273.48 / $6,432.21 / $6,432.21	Facility		$2,273.48	$6,432.21	$6,432.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,703.04 / $6,703.04 / $9,177.15	Professional		$6,703.04	$6,703.04	$9,177.15