Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.08 / $348.06 / $701.31	Facility		$274.08	$348.06	$701.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.32 / $348.06 / $461.17	Professional		$289.32	$348.06	$461.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $737.02 / $907.66 / $1,053.85	Facility		$737.02	$907.66	$1,053.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.78 / $369.81 / $783.13	Professional		$195.78	$369.81	$783.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.94 / $605.52 / $1,142.28	Facility		$296.94	$605.52	$1,142.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.67 / $322.94 / $633.95	Professional		$201.67	$322.94	$633.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $348.06 / $435.07 / $652.61	Facility		$348.06	$435.07	$652.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.08 / $323.08 / $435.07	Professional		$323.08	$323.08	$435.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $435.07 / $833.16	Professional		$282.80	$435.07	$833.16
United Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $513.38 / $522.08	Facility		$435.07	$513.38	$522.08
United Facility/Professional Professional Modifier Low / Median / High Price $217.54 / $261.04 / $435.07	Professional		$217.54	$261.04	$435.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $757.02 / $2,066.58 / $2,066.58	Facility		$757.02	$2,066.58	$2,066.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,175.35 / $2,175.35 / $3,263.03	Professional		$2,175.35	$2,175.35	$3,263.03