Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.37 / $399.20 / $804.38	Facility		$314.37	$399.20	$804.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.84 / $399.20 / $528.94	Professional		$331.84	$399.20	$528.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.04 / $1,465.80 / $1,465.80	Facility		$1,041.04	$1,465.80	$1,465.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $424.15 / $898.20	Professional		$224.55	$424.15	$898.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.57 / $694.64 / $1,310.42	Facility		$340.57	$694.64	$1,310.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.36 / $370.47 / $726.98	Professional		$231.36	$370.47	$726.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $399.20 / $499.00 / $828.34	Facility		$399.20	$499.00	$828.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $1,759.35	Professional		$499.00	$499.00	$1,759.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.35 / $499.00 / $955.59	Professional		$324.35	$499.00	$955.59
United Facility/Professional Facility Modifier Low / Median / High Price $299.39 / $588.82 / $598.79	Facility		$299.39	$588.82	$598.79
United Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $299.39 / $513.97	Professional		$249.50	$299.39	$513.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $868.26 / $3,120.21 / $3,120.21	Facility		$868.26	$3,120.21	$3,120.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,495.00 / $2,495.00 / $3,742.50	Professional		$2,495.00	$2,495.00	$3,742.50