Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.70 / $668.70 / $1,357.11	Facility		$668.70	$668.70	$1,357.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.92 / $668.70 / $668.70	Professional		$401.92	$668.70	$668.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.47 / $1,332.71 / $1,641.27	Facility		$818.47	$1,332.71	$1,641.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.49 / $673.83 / $741.21	Professional		$625.49	$673.83	$741.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.75 / $695.50 / $695.50	Facility		$555.75	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $695.50 / $1,246.50	Professional		$507.72	$695.50	$1,246.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $265.81 / $668.70 / $1,011.75	Facility		$265.81	$668.70	$1,011.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $505.00 / $631.00	Professional		$505.00	$505.00	$631.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $1,711.20	Professional		$1,113.00	$1,113.00	$1,711.20
United Facility/Professional Professional Modifier Low / Median / High Price $344.37 / $448.22 / $651.91	Professional		$344.37	$448.22	$651.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,806.22 / $4,759.79 / $4,759.79	Facility		$1,806.22	$4,759.79	$4,759.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,447.03 / $5,447.03 / $6,955.95	Professional		$5,447.03	$5,447.03	$6,955.95