Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,174.90 / $1,258.93	Facility		$302.00	$1,174.90	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $371.54	Professional		$251.19	$302.00	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $1,202.26	Facility		$630.96	$831.76	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $870.96	Professional		$316.23	$371.54	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $588.84 / $977.24	Facility		$257.04	$588.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $524.81	Facility		$269.15	$338.84	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $630.96	Professional		$575.44	$575.44	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $457.09	Facility		$223.87	$446.68	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $416.87	Professional		$158.49	$223.87	$416.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,818.38	Professional		$1,862.09	$1,862.09	$2,818.38