Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.90 / $508.90 / $1,032.82	Facility		$508.90	$508.90	$1,032.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.11 / $508.90 / $508.90	Professional		$307.11	$508.90	$508.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $622.89 / $1,014.23 / $1,249.05	Facility		$622.89	$1,014.23	$1,249.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.73 / $512.80 / $512.80	Professional		$389.73	$512.80	$512.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.96 / $427.25 / $427.25	Facility		$422.96	$427.25	$427.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $900.00	Professional		$311.89	$427.25	$900.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $508.90 / $806.92	Facility		$220.22	$508.90	$806.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $480.00	Professional		$384.00	$384.00	$480.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $820.50 / $820.50 / $1,261.59	Professional		$820.50	$820.50	$1,261.59
United Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $342.56 / $535.15	Professional		$284.26	$342.56	$535.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,495.98 / $4,330.34 / $4,330.34	Facility		$1,495.98	$4,330.34	$4,330.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,842.63 / $4,842.63 / $5,128.05	Professional		$4,842.63	$4,842.63	$5,128.05