Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $259.16 / $485.77	Facility		$241.08	$259.16	$485.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $241.08 / $319.43	Professional		$200.40	$241.08	$319.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $628.69 / $846.81	Facility		$510.50	$628.69	$846.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $301.35 / $647.90	Professional		$256.14	$301.35	$647.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.98 / $419.58 / $790.88	Facility		$228.98	$419.58	$790.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $265.30 / $445.11	Professional		$139.86	$265.30	$445.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $301.35 / $436.96	Facility		$241.08	$301.35	$436.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $195.88 / $301.35	Professional		$195.88	$195.88	$301.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $301.35 / $577.09	Professional		$195.88	$301.35	$577.09
United Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $180.81 / $452.03	Professional		$150.68	$180.81	$452.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $524.35 / $1,431.41 / $1,431.41	Facility		$524.35	$1,431.41	$1,431.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13