Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.16 / $523.16 / $1,061.76	Facility		$523.16	$523.16	$1,061.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.45 / $523.16 / $523.16	Professional		$314.45	$523.16	$523.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.55 / $676.27 / $1,284.06	Facility		$563.55	$676.27	$1,284.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.36 / $527.16 / $527.17	Professional		$489.36	$527.16	$527.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $527.25	Facility		$527.25	$527.25	$527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $527.25 / $945.00	Professional		$384.89	$527.25	$945.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.39 / $523.16 / $792.36	Facility		$226.39	$523.16	$792.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $514.35 / $514.35 / $514.35	Professional		$514.35	$514.35	$514.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $845.10 / $845.10 / $1,299.40	Professional		$845.10	$845.10	$1,299.40
United Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $350.67 / $540.37	Professional		$269.42	$350.67	$540.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,378.44 / $4,451.75 / $4,451.75	Facility		$1,378.44	$4,451.75	$4,451.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,607.85 / $5,281.80 / $5,281.80	Professional		$4,607.85	$5,281.80	$5,281.80