Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.28 / $497.28 / $1,009.20	Facility		$497.28	$497.28	$1,009.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $497.28 / $497.28	Professional		$298.89	$497.28	$497.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.66 / $642.79 / $1,220.54	Facility		$535.66	$642.79	$1,220.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.15 / $501.10 / $534.50	Professional		$465.15	$501.10	$534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $968.44	Professional		$319.38	$319.38	$968.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $497.28 / $752.39	Facility		$193.66	$497.28	$752.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $374.00 / $469.00	Professional		$374.00	$374.00	$469.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $801.80 / $801.80 / $1,232.70	Professional		$801.80	$801.80	$1,232.70
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $333.32 / $483.32	Professional		$256.08	$333.32	$483.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,122.46 / $3,173.62 / $3,173.62	Facility		$1,122.46	$3,173.62	$3,173.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,327.29 / $3,327.29 / $5,010.97	Professional		$3,327.29	$3,327.29	$5,010.97