Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.80 / $683.80 / $1,387.76	Facility		$683.80	$683.80	$1,387.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.28 / $683.80 / $683.80	Professional		$396.28	$683.80	$683.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $883.89 / $1,678.32	Facility		$736.58	$883.89	$1,678.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.67 / $689.05 / $689.05	Professional		$523.67	$689.05	$689.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.29 / $644.36 / $644.36	Facility		$568.29	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $1,134.75	Professional		$470.38	$644.36	$1,134.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $683.80 / $1,034.60	Facility		$242.00	$683.80	$1,034.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $517.00 / $645.00	Professional		$517.00	$517.00	$645.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $901.00 / $1,386.30	Professional		$901.00	$901.00	$1,386.30
United Facility/Professional Professional Modifier Low / Median / High Price $352.14 / $458.34 / $653.11	Professional		$352.14	$458.34	$653.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,644.23 / $4,603.08 / $4,603.08	Facility		$1,644.23	$4,603.08	$4,603.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,651.54 / $4,651.54 / $5,635.35	Professional		$4,651.54	$4,651.54	$5,635.35