Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $275.57 / $299.98	Facility		$181.01	$275.57	$299.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $382.25 / $1,085.99	Professional		$242.30	$382.25	$1,085.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $185.40 / $185.40	Professional		$185.40	$185.40	$185.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $308.73 / $516.78	Professional		$257.68	$308.73	$516.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.35 / $488.49 / $858.00	Facility		$179.35	$488.49	$858.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $132.00 / $354.00	Professional		$92.00	$132.00	$354.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $336.50 / $750.20	Professional		$172.67	$336.50	$750.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.39 / $2,853.39 / $2,853.39	Facility		$2,853.39	$2,853.39	$2,853.39
United Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $312.06 / $515.48	Professional		$165.59	$312.06	$515.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $911.12 / $1,210.00 / $1,240.47	Facility		$911.12	$1,210.00	$1,240.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,492.00 / $3,492.00 / $3,492.00	Professional		$3,492.00	$3,492.00	$3,492.00