Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.05 / $764.05 / $1,550.63	Facility		$764.05	$764.05	$1,550.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.27 / $764.05 / $764.05	Professional		$438.27	$764.05	$764.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.03 / $987.64 / $1,875.29	Facility		$823.03	$987.64	$1,875.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.68 / $769.91 / $846.90	Professional		$714.68	$769.91	$846.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $635.00	Facility		$496.34	$496.34	$635.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $496.34 / $998.63	Professional		$362.33	$496.34	$998.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $764.05 / $1,156.04	Facility		$247.97	$764.05	$1,156.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $577.00 / $577.00 / $721.00	Professional		$577.00	$577.00	$721.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $923.70 / $923.70 / $1,420.50	Professional		$923.70	$923.70	$1,420.50
United Facility/Professional Professional Modifier Low / Median / High Price $390.84 / $512.14 / $803.45	Professional		$390.84	$512.14	$803.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,603.98 / $3,942.99 / $3,942.99	Facility		$1,603.98	$3,942.99	$3,942.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,278.29 / $4,278.29 / $5,774.33	Professional		$4,278.29	$4,278.29	$5,774.33