Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.62 / $414.62 / $860.35	Facility		$414.62	$414.62	$860.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.66 / $414.62 / $549.38	Professional		$344.66	$414.62	$549.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.98 / $1,081.26 / $1,134.18	Facility		$877.98	$1,081.26	$1,134.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.54 / $518.28 / $1,114.30	Professional		$440.54	$518.28	$1,114.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.81 / $721.61 / $1,360.24	Facility		$393.81	$721.61	$1,360.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.43 / $384.86 / $765.04	Professional		$240.43	$384.86	$765.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.62 / $518.28 / $751.51	Facility		$414.62	$518.28	$751.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $336.88 / $518.28	Professional		$336.88	$336.88	$518.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $518.28 / $992.51	Professional		$336.88	$518.28	$992.51
United Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $310.97 / $533.83	Professional		$259.14	$310.97	$533.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $901.81 / $2,461.83 / $2,461.83	Facility		$901.81	$2,461.83	$2,461.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,581.03 / $2,581.03 / $3,887.10	Professional		$2,581.03	$2,581.03	$3,887.10