Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.28 / $500.28 / $1,015.33	Facility		$500.28	$500.28	$1,015.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.70 / $500.28 / $500.28	Professional		$300.70	$500.28	$500.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.34 / $997.05 / $1,227.90	Facility		$612.34	$997.05	$1,227.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.14 / $504.13 / $504.13	Professional		$383.14	$504.13	$504.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.79 / $420.01 / $420.01	Facility		$415.79	$420.01	$420.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $420.01 / $822.38	Professional		$306.61	$420.01	$822.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $500.28 / $756.95	Facility		$216.49	$500.28	$756.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $472.00	Professional		$378.00	$378.00	$472.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,564.90	Professional		$1,017.80	$1,017.80	$1,564.90
United Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $335.33 / $516.74	Professional		$279.45	$335.33	$516.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,532.12 / $4,257.09 / $4,257.09	Facility		$1,532.12	$4,257.09	$4,257.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,959.68 / $4,959.68 / $6,361.13	Professional		$4,959.68	$4,959.68	$6,361.13