Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.53 / $622.53 / $1,263.45	Facility		$622.53	$622.53	$1,263.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.63 / $622.53 / $622.53	Professional		$425.63	$622.53	$622.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.97 / $1,240.69 / $1,527.94	Facility		$761.97	$1,240.69	$1,527.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.30 / $627.30 / $669.13	Professional		$582.30	$627.30	$669.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $1,183.50	Professional		$434.09	$510.69	$1,183.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $622.53 / $937.00	Facility		$263.23	$622.53	$937.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $586.82 / $586.82 / $586.82	Professional		$586.82	$586.82	$586.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $976.80 / $976.80 / $1,507.90	Professional		$976.80	$976.80	$1,507.90
United Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $417.28 / $654.64	Professional		$339.78	$417.28	$654.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,714.93 / $4,490.37 / $4,490.37	Facility		$1,714.93	$4,490.37	$4,490.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,776.42 / $6,129.68 / $6,129.68	Professional		$4,776.42	$6,129.68	$6,129.68