Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.55 / $589.55 / $1,196.51	Facility		$589.55	$589.55	$1,196.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.20 / $589.55 / $589.55	Professional		$393.20	$589.55	$589.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.09 / $762.11 / $1,447.01	Facility		$635.09	$762.11	$1,447.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.66 / $594.08 / $633.69	Professional		$534.66	$594.08	$633.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $703.94 / $921.00	Professional		$598.35	$703.94	$921.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $255.12 / $589.55 / $931.69	Facility		$255.12	$589.55	$931.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $443.00 / $443.00 / $556.00	Professional		$443.00	$443.00	$556.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.59 / $1,094.59 / $1,683.00	Professional		$1,094.59	$1,094.59	$1,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $396.85 / $608.95	Professional		$329.32	$396.85	$608.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,489.17 / $4,062.38 / $4,062.38	Facility		$1,489.17	$4,062.38	$4,062.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,638.25 / $4,638.25 / $6,841.20	Professional		$4,638.25	$4,638.25	$6,841.20