Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $416.87	Facility		$151.36	$151.36	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $331.13	Professional		$128.82	$162.18	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $1,230.27	Facility		$323.59	$436.52	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $602.56	Professional		$162.18	$346.74	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $1,000.00	Facility		$295.12	$602.56	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $457.09	Facility		$151.36	$186.21	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $645.65	Professional		$588.84	$588.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $380.19	Facility		$114.82	$229.09	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $288.40	Professional		$95.50	$114.82	$288.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,884.03	Professional		$1,905.46	$1,905.46	$2,884.03