Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.19 / $703.19 / $1,427.12	Facility		$703.19	$703.19	$1,427.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.31 / $703.19 / $703.19	Professional		$409.31	$703.19	$703.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.47 / $908.97 / $1,725.91	Facility		$757.47	$908.97	$1,725.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.52 / $708.58 / $708.58	Professional		$538.52	$708.58	$708.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $584.41	Facility		$511.94	$511.94	$584.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $467.53 / $959.63	Professional		$373.72	$467.53	$959.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $228.22 / $703.19 / $1,063.95	Facility		$228.22	$703.19	$1,063.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $531.00 / $531.00 / $663.00	Professional		$531.00	$531.00	$663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $862.70 / $862.70 / $1,326.50	Professional		$862.70	$862.70	$1,326.50
United Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $471.34 / $665.51	Professional		$353.50	$471.34	$665.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,476.21 / $4,487.66 / $4,487.66	Facility		$1,476.21	$4,487.66	$4,487.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,534.89 / $4,534.89 / $5,392.13	Professional		$4,534.89	$4,534.89	$5,392.13