Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.26 / $322.87 / $485.80	Facility		$254.26	$322.87	$485.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.76 / $322.87 / $427.81	Professional		$252.76	$322.87	$427.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.70 / $730.74 / $908.08	Facility		$683.70	$730.74	$908.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $270.67 / $542.45	Professional		$181.62	$270.67	$542.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $561.67 / $1,059.55	Facility		$275.45	$561.67	$1,059.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $299.20 / $588.19	Professional		$184.59	$299.20	$588.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $301.36 / $301.36 / $585.21	Facility		$301.36	$301.36	$585.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $301.36 / $1,379.00	Professional		$301.36	$301.36	$1,379.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $403.59 / $772.87	Professional		$262.33	$403.59	$772.87
United Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $242.15 / $452.04	Professional		$150.68	$242.15	$452.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $702.25 / $1,917.05 / $1,917.05	Facility		$702.25	$1,917.05	$1,917.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,017.95 / $2,017.95 / $3,026.93	Professional		$2,017.95	$2,017.95	$3,026.93