Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.07 / $370.30 / $727.96	Facility		$284.07	$370.30	$727.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.86 / $360.73 / $477.97	Professional		$299.86	$360.73	$477.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.71 / $1,268.19 / $1,329.60	Facility		$940.71	$1,268.19	$1,329.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $406.43 / $721.46	Professional		$202.91	$406.43	$721.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.74 / $627.67 / $1,184.09	Facility		$307.74	$627.67	$1,184.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.18 / $405.74 / $656.83	Professional		$209.18	$405.74	$656.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $360.73 / $451.59 / $676.37	Facility		$360.73	$451.59	$676.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $451.59 / $451.59 / $535.62	Professional		$451.59	$451.59	$535.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $450.91 / $863.49	Professional		$293.08	$450.91	$863.49
United Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $270.55 / $451.59	Professional		$225.46	$270.55	$451.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $784.58 / $2,141.82 / $2,141.82	Facility		$784.58	$2,141.82	$2,141.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,254.55 / $2,254.55 / $3,381.83	Professional		$2,254.55	$2,254.55	$3,381.83