Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $246.40 / $511.28	Facility		$246.40	$246.40	$511.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.82 / $246.40 / $326.48	Professional		$204.82	$246.40	$326.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.77 / $642.57 / $842.51	Facility		$521.77	$642.57	$842.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $308.00 / $662.20	Professional		$261.80	$308.00	$662.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.03 / $428.73 / $808.67	Facility		$234.03	$428.73	$808.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $228.66 / $454.90	Professional		$142.96	$228.66	$454.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $246.40 / $446.60	Facility		$246.40	$246.40	$446.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $200.20 / $246.40	Professional		$200.20	$200.20	$246.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $308.00 / $589.82	Professional		$200.20	$308.00	$589.82
United Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $369.60 / $369.60	Facility		$369.60	$369.60	$369.60
United Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $184.80 / $317.24	Professional		$154.00	$184.80	$317.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $1,463.00 / $1,463.00	Facility		$535.91	$1,463.00	$1,463.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,533.84 / $1,533.84 / $2,310.00	Professional		$1,533.84	$1,533.84	$2,310.00