Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.35 / $607.35 / $1,232.60	Facility		$607.35	$607.35	$1,232.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.04 / $607.35 / $607.35	Professional		$365.04	$607.35	$607.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.25 / $785.10 / $1,490.68	Facility		$654.25	$785.10	$1,490.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.11 / $612.01 / $673.21	Professional		$568.11	$612.01	$673.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $940.88	Professional		$383.42	$525.23	$940.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $607.35 / $854.53	Facility		$245.20	$607.35	$854.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.24 / $613.24 / $613.24	Professional		$613.24	$613.24	$613.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $950.60 / $1,461.60	Professional		$950.60	$950.60	$1,461.60
United Facility/Professional Professional Modifier Low / Median / High Price $337.28 / $407.10 / $590.29	Professional		$337.28	$407.10	$590.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,363.52 / $3,779.52 / $3,779.52	Facility		$1,363.52	$3,779.52	$3,779.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,086.44 / $5,941.20 / $5,941.20	Professional		$4,086.44	$5,941.20	$5,941.20