Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.65 / $613.65 / $1,245.38	Facility		$613.65	$613.65	$1,245.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.83 / $613.65 / $613.65	Professional		$368.83	$613.65	$613.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.10 / $1,222.99 / $1,506.15	Facility		$751.10	$1,222.99	$1,506.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.95 / $618.35 / $618.35	Professional		$469.95	$618.35	$618.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $649.92 / $649.92	Facility		$510.00	$649.92	$649.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $649.92 / $1,058.63	Professional		$474.45	$649.92	$1,058.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $260.47 / $613.65 / $928.46	Facility		$260.47	$613.65	$928.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $464.00 / $579.00	Professional		$464.00	$464.00	$579.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.90 / $1,291.90 / $1,989.50	Professional		$1,291.90	$1,291.90	$1,989.50
United Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $411.32 / $621.73	Professional		$316.02	$411.32	$621.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,617.45 / $4,313.20 / $4,313.20	Facility		$1,617.45	$4,313.20	$4,313.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,369.93 / $5,369.93 / $8,087.25	Professional		$5,369.93	$5,369.93	$8,087.25