Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.47 / $305.36 / $328.26	Facility		$240.47	$305.36	$328.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $305.36 / $600.00	Professional		$169.30	$305.36	$600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.88 / $446.68 / $796.31	Facility		$367.88	$446.68	$796.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $151.71 / $381.70	Professional		$126.34	$151.71	$381.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.52 / $531.34 / $1,001.72	Facility		$260.52	$531.34	$1,001.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $177.55 / $556.16	Professional		$142.00	$177.55	$556.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $151.71 / $553.47	Facility		$151.71	$151.71	$553.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $151.71 / $1,170.00	Professional		$151.71	$151.71	$1,170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.10 / $381.70 / $730.96	Professional		$248.10	$381.70	$730.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $190.85 / $381.70	Professional		$75.86	$190.85	$381.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $664.16 / $1,813.08 / $1,813.08	Facility		$664.16	$1,813.08	$1,813.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,908.50 / $1,908.50 / $2,862.75	Professional		$1,908.50	$1,908.50	$2,862.75