Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.68 / $656.68 / $1,332.69	Facility		$656.68	$656.68	$1,332.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.70 / $656.68 / $656.68	Professional		$394.70	$656.68	$656.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.77 / $1,308.76 / $1,611.77	Facility		$803.77	$1,308.76	$1,611.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.25 / $661.72 / $661.72	Professional		$614.25	$661.72	$661.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $1,017.38	Professional		$455.91	$624.54	$1,017.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $656.68 / $1,059.79	Facility		$252.48	$656.68	$1,059.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $645.60 / $645.60	Professional		$645.60	$645.60	$645.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.80 / $1,027.80 / $1,580.30	Professional		$1,027.80	$1,027.80	$1,580.30
United Facility/Professional Professional Modifier Low / Median / High Price $338.17 / $442.02 / $690.54	Professional		$338.17	$442.02	$690.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,474.25 / $4,086.48 / $4,086.48	Facility		$1,474.25	$4,086.48	$4,086.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,418.01 / $6,423.90 / $6,423.90	Professional		$4,418.01	$6,423.90	$6,423.90