Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.16 / $512.16 / $1,039.47	Facility		$512.16	$512.16	$1,039.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $512.16 / $512.16	Professional		$307.83	$512.16	$512.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.71 / $662.05 / $1,257.07	Facility		$551.71	$662.05	$1,257.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.23 / $516.10 / $516.10	Professional		$392.23	$516.10	$516.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.67 / $528.47 / $528.47	Facility		$425.67	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $888.38	Professional		$385.78	$528.47	$888.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $512.16 / $815.27	Facility		$204.78	$512.16	$815.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $387.00 / $483.00	Professional		$387.00	$387.00	$483.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.10 / $785.10 / $1,207.20	Professional		$785.10	$785.10	$1,207.20
United Facility/Professional Professional Modifier Low / Median / High Price $263.76 / $343.30 / $497.79	Professional		$263.76	$343.30	$497.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,287.23 / $3,603.16 / $3,603.16	Facility		$1,287.23	$3,603.16	$3,603.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,196.41 / $4,196.41 / $4,906.80	Professional		$4,196.41	$4,196.41	$4,906.80