Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.30 / $529.30 / $1,074.24	Facility		$529.30	$529.30	$1,074.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $529.30 / $529.30	Professional		$318.14	$529.30	$529.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.19 / $684.23 / $1,299.15	Facility		$570.19	$684.23	$1,299.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.12 / $533.38 / $533.38	Professional		$495.12	$533.38	$533.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $564.36 / $916.50	Professional		$411.98	$564.36	$916.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $529.30 / $792.99	Facility		$215.25	$529.30	$792.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $520.40 / $520.40 / $520.40	Professional		$520.40	$520.40	$520.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $802.00 / $1,233.09	Professional		$802.00	$802.00	$1,233.09
United Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $356.30 / $556.61	Professional		$277.85	$356.30	$556.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,328.34 / $3,722.67 / $3,722.67	Facility		$1,328.34	$3,722.67	$3,722.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,773.79 / $5,012.47 / $5,012.47	Professional		$3,773.79	$5,012.47	$5,012.47