Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.57 / $499.57 / $1,013.88	Facility		$499.57	$499.57	$1,013.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $499.57 / $499.57	Professional		$300.27	$499.57	$499.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.15 / $645.78 / $1,226.14	Facility		$538.15	$645.78	$1,226.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.59 / $503.41 / $503.41	Professional		$382.59	$503.41	$503.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.20 / $419.41 / $419.41	Facility		$415.20	$419.41	$419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $332.16 / $895.13	Professional		$306.17	$332.16	$895.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $499.57 / $795.21	Facility		$216.18	$499.57	$795.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $377.00 / $471.00	Professional		$377.00	$377.00	$471.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $817.00 / $1,256.09	Professional		$817.00	$817.00	$1,256.09
United Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $334.86 / $516.01	Professional		$257.27	$334.86	$516.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,358.97 / $4,251.01 / $4,251.01	Facility		$1,358.97	$4,251.01	$4,251.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,399.34 / $4,399.34 / $5,106.00	Professional		$4,399.34	$4,399.34	$5,106.00