Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.53 / $264.80 / $297.58	Facility		$208.53	$264.80	$297.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $264.80 / $350.86	Professional		$220.12	$264.80	$350.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.66 / $543.54 / $690.55	Facility		$447.66	$543.54	$690.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $165.81 / $396.91	Professional		$148.94	$165.81	$396.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.91 / $460.52 / $869.17	Facility		$225.91	$460.52	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $183.28 / $482.45	Professional		$151.41	$183.28	$482.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.61 / $184.61 / $479.95	Facility		$184.61	$184.61	$479.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $166.26 / $184.61	Professional		$166.26	$166.26	$184.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $331.00 / $633.87	Professional		$215.15	$331.00	$633.87
United Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $184.61 / $331.00	Professional		$92.31	$184.61	$331.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.94 / $1,572.25 / $1,572.25	Facility		$575.94	$1,572.25	$1,572.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,655.00 / $1,655.00 / $2,482.50	Professional		$1,655.00	$1,655.00	$2,482.50