Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.63 / $499.97 / $912.00	Facility		$214.63	$499.97	$912.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $240.00 / $318.00	Professional		$199.50	$240.00	$318.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.88 / $968.16 / $968.16	Facility		$625.88	$968.16	$968.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $270.00 / $524.26	Professional		$219.46	$270.00	$524.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $417.65 / $787.32	Facility		$227.96	$417.65	$787.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $222.75 / $460.39	Professional		$139.24	$222.75	$460.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $329.51 / $450.00	Facility		$240.00	$329.51	$450.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $194.71 / $329.51	Professional		$194.71	$194.71	$329.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $300.00 / $574.50	Professional		$195.00	$300.00	$574.50
United Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $180.00 / $329.51	Professional		$135.00	$180.00	$329.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $1,425.00 / $1,425.00	Facility		$522.00	$1,425.00	$1,425.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,250.00	Professional		$1,500.00	$1,500.00	$2,250.00