Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.70 / $959.01 / $1,277.96	Facility		$321.70	$959.01	$1,277.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.41 / $321.70 / $550.90	Professional		$267.41	$321.70	$550.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.20 / $1,130.97 / $1,502.15	Facility		$681.20	$1,130.97	$1,502.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $361.91 / $704.71	Professional		$180.95	$361.91	$704.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.55 / $559.76 / $1,055.99	Facility		$305.55	$559.76	$1,055.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $371.53 / $585.65	Professional		$186.51	$371.53	$585.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $321.70 / $548.60 / $667.52	Facility		$321.70	$548.60	$667.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $322.69 / $322.69 / $548.60	Professional		$322.69	$322.69	$548.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.38 / $402.12 / $770.06	Professional		$261.38	$402.12	$770.06
United Facility/Professional Facility Modifier Low / Median / High Price $482.54 / $482.54 / $482.54	Facility		$482.54	$482.54	$482.54
United Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $274.30 / $548.60	Professional		$201.06	$274.30	$548.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $699.69 / $1,910.07 / $1,910.07	Facility		$699.69	$1,910.07	$1,910.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,010.60 / $2,010.60 / $3,015.90	Professional		$2,010.60	$2,010.60	$3,015.90