Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.96 / $558.96 / $1,134.40	Facility		$558.96	$558.96	$1,134.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.96 / $558.96 / $558.96	Professional		$335.96	$558.96	$558.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.16 / $1,114.00 / $1,371.92	Facility		$684.16	$1,114.00	$1,371.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.07 / $563.25 / $563.25	Professional		$428.07	$563.25	$563.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $464.55	Facility		$418.79	$418.79	$464.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $934.50	Professional		$305.72	$418.79	$934.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $558.96 / $845.73	Facility		$215.86	$558.96	$845.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $422.00 / $527.00	Professional		$422.00	$422.00	$527.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $804.20 / $804.20 / $1,236.59	Professional		$804.20	$804.20	$1,236.59
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $287.85 / $374.66 / $543.26	Professional		$287.85	$374.66	$543.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,354.43 / $3,451.92 / $3,451.92	Facility		$1,354.43	$3,451.92	$3,451.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,683.44 / $3,683.44 / $5,026.50	Professional		$3,683.44	$3,683.44	$5,026.50