Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.59 / $283.38 / $531.16	Facility		$207.59	$283.38	$531.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $263.61 / $349.28	Professional		$219.12	$263.61	$349.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.44 / $967.93 / $967.93	Facility		$687.44	$967.93	$967.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $329.51 / $724.92	Professional		$280.08	$329.51	$724.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.38 / $458.60 / $864.72	Facility		$250.38	$458.60	$864.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $274.00 / $486.33	Professional		$152.61	$274.00	$486.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $329.51 / $494.27	Facility		$263.61	$329.51	$494.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $214.18 / $329.51	Professional		$214.18	$214.18	$329.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $329.51 / $631.01	Professional		$214.18	$329.51	$631.01
United Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $197.71 / $339.40	Professional		$164.76	$197.71	$339.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $573.35 / $1,565.17 / $1,565.17	Facility		$573.35	$1,565.17	$1,565.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,647.55 / $1,647.55 / $2,471.33	Professional		$1,647.55	$1,647.55	$2,471.33