Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.09 / $502.09 / $1,018.99	Facility		$502.09	$502.09	$1,018.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $502.09 / $502.09	Professional		$301.77	$502.09	$502.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.54 / $1,000.64 / $1,232.32	Facility		$614.54	$1,000.64	$1,232.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.64 / $505.94 / $505.94	Professional		$469.64	$505.94	$505.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $434.07 / $777.75	Professional		$316.87	$434.07	$777.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $502.09 / $810.32	Facility		$193.05	$502.09	$810.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.64 / $493.64 / $493.64	Professional		$493.64	$493.64	$493.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.90 / $785.90 / $1,208.30	Professional		$785.90	$785.90	$1,208.30
United Facility/Professional Professional Modifier Low / Median / High Price $258.57 / $336.55 / $506.45	Professional		$258.57	$336.55	$506.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,127.33 / $3,124.60 / $3,124.60	Facility		$1,127.33	$3,124.60	$3,124.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,378.23 / $4,911.89 / $4,911.89	Professional		$3,378.23	$4,911.89	$4,911.89