Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.86 / $542.86 / $1,101.76	Facility		$542.86	$542.86	$1,101.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.99 / $542.86 / $542.86	Professional		$315.99	$542.86	$542.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $664.47 / $1,081.91 / $1,332.40	Facility		$664.47	$1,081.91	$1,332.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.74 / $547.02 / $547.02	Professional		$415.74	$547.02	$547.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $451.19	Facility		$412.94	$412.94	$451.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $412.94 / $739.88	Professional		$301.45	$412.94	$739.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $205.60 / $542.86 / $851.13	Facility		$205.60	$542.86	$851.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $512.00	Professional		$410.00	$410.00	$512.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $766.00 / $1,177.80	Professional		$766.00	$766.00	$1,177.80
United Facility/Professional Professional Modifier Low / Median / High Price $279.58 / $363.88 / $527.62	Professional		$279.58	$363.88	$527.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,513.94 / $4,042.87 / $4,042.87	Facility		$1,513.94	$4,042.87	$4,042.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,901.09 / $4,901.09 / $4,901.09	Professional		$4,901.09	$4,901.09	$4,901.09