Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.28 / $515.28 / $1,045.76	Facility		$515.28	$515.28	$1,045.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $515.28 / $515.28	Professional		$309.70	$515.28	$515.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.07 / $666.09 / $1,264.71	Facility		$555.07	$666.09	$1,264.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.99 / $519.23 / $571.15	Professional		$481.99	$519.23	$571.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.25 / $432.60 / $432.60	Facility		$428.25	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $432.60 / $802.50	Professional		$315.80	$432.60	$802.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.98 / $515.28 / $779.64	Facility		$222.98	$515.28	$779.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $389.00 / $486.00	Professional		$389.00	$389.00	$486.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $845.50 / $845.50 / $1,300.00	Professional		$845.50	$845.50	$1,300.00
United Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $456.41 / $532.23	Facility		$266.12	$456.41	$532.23
United Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $345.39 / $541.86	Professional		$287.83	$345.39	$541.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,200.02 / $3,692.36 / $3,692.36	Facility		$1,200.02	$3,692.36	$3,692.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,596.99 / $4,596.99 / $5,284.28	Professional		$4,596.99	$4,596.99	$5,284.28