Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $352.00 / $378.40	Facility		$277.20	$352.00	$378.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.27 / $352.00 / $466.40	Professional		$137.27	$352.00	$466.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $520.24 / $917.95	Facility		$428.48	$520.24	$917.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $176.70 / $440.00	Professional		$147.16	$176.70	$440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.30 / $612.26 / $1,154.74	Facility		$300.30	$612.26	$1,154.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.39 / $204.57 / $641.07	Professional		$165.39	$204.57	$641.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.70 / $176.70 / $638.00	Facility		$176.70	$176.70	$638.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $176.70 / $500.00	Professional		$176.70	$176.70	$500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $440.00 / $842.60	Professional		$286.00	$440.00	$842.60
United Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $220.00 / $440.00	Professional		$88.35	$220.00	$440.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $765.60 / $2,090.00 / $2,090.00	Facility		$765.60	$2,090.00	$2,090.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,300.00	Professional		$2,200.00	$2,200.00	$3,300.00