Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.50 / $2,343.00 / $5,844.08	Facility		$603.50	$2,343.00	$5,844.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.12 / $603.50 / $748.37	Professional		$391.12	$603.50	$748.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.65 / $1,202.77 / $1,481.24	Facility		$738.65	$1,202.77	$1,481.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.51 / $608.13 / $648.66	Professional		$564.51	$608.13	$648.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $451.71 / $1,107.75	Professional		$383.95	$451.71	$1,107.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $603.50 / $913.13	Facility		$235.05	$603.50	$913.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $454.00 / $569.00	Professional		$454.00	$454.00	$569.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $953.70 / $953.70 / $1,466.30	Professional		$953.70	$953.70	$1,466.30
United Facility/Professional Professional Modifier Low / Median / High Price $310.79 / $404.52 / $576.47	Professional		$310.79	$404.52	$576.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,605.19 / $4,535.59 / $4,535.59	Facility		$1,605.19	$4,535.59	$4,535.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,583.33 / $4,583.33 / $5,960.33	Professional		$4,583.33	$4,583.33	$5,960.33