Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $402.48 / $754.39	Facility		$294.83	$402.48	$754.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.22 / $374.40 / $1,353.74	Professional		$311.22	$374.40	$1,353.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.61 / $1,316.26 / $1,374.85	Facility		$884.61	$1,316.26	$1,374.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $397.80 / $842.40	Professional		$210.60	$397.80	$842.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.61 / $651.28 / $1,228.58	Facility		$355.61	$651.28	$1,228.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $347.35 / $690.85	Professional		$216.68	$347.35	$690.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $374.40 / $468.00 / $702.00	Facility		$374.40	$468.00	$702.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $304.20 / $468.00	Professional		$304.20	$304.20	$468.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $468.00 / $896.22	Professional		$304.20	$468.00	$896.22
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $280.80 / $482.04	Professional		$234.00	$280.80	$482.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $814.32 / $2,223.00 / $2,223.00	Facility		$814.32	$2,223.00	$2,223.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $3,510.00	Professional		$2,340.00	$2,340.00	$3,510.00