Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $224.00 / $451.35	Facility		$176.40	$224.00	$451.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $224.00 / $296.80	Professional		$186.20	$224.00	$296.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $630.01 / $764.93	Facility		$474.33	$630.01	$764.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $280.00 / $602.00	Professional		$238.00	$280.00	$602.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.10 / $389.71 / $734.83	Facility		$191.10	$389.71	$734.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $207.85 / $407.72	Professional		$129.74	$207.85	$407.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $280.00 / $464.80	Facility		$224.00	$280.00	$464.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $1,102.41	Professional		$280.00	$280.00	$1,102.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $280.00 / $536.20	Professional		$182.00	$280.00	$536.20
United Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $168.00 / $288.39	Professional		$140.00	$168.00	$288.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $487.20 / $1,330.00 / $1,330.00	Facility		$487.20	$1,330.00	$1,330.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $2,100.00	Professional		$1,400.00	$1,400.00	$2,100.00