Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.99 / $541.20 / $581.79	Facility		$455.99	$541.20	$581.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $541.20 / $541.20	Professional		$240.45	$541.20	$541.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.02 / $1,411.35 / $1,900.99	Facility		$1,146.02	$1,411.35	$1,900.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $541.20 / $933.57	Professional		$240.45	$541.20	$933.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.04 / $941.76 / $1,775.70	Facility		$514.04	$941.76	$1,775.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $595.66 / $998.93	Professional		$313.92	$595.66	$998.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $805.04	Facility		$282.88	$282.88	$805.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $282.88	Professional		$256.67	$256.67	$282.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $676.50 / $1,295.50	Professional		$439.73	$676.50	$1,295.50
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $169.73 / $506.71	Professional		$141.44	$169.73	$506.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,177.10 / $3,213.38 / $3,213.38	Facility		$1,177.10	$3,213.38	$3,213.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,368.97 / $3,368.97 / $5,073.75	Professional		$3,368.97	$3,368.97	$5,073.75