Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.30 / $375.18 / $1,019.56	Facility		$268.30	$375.18	$1,019.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $268.30 / $368.92	Professional		$223.03	$268.30	$368.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.14 / $699.68 / $1,109.45	Facility		$568.14	$699.68	$1,109.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $410.94 / $587.74	Professional		$150.91	$410.94	$587.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.84 / $466.79 / $880.73	Facility		$254.84	$466.79	$880.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.59 / $310.01 / $488.55	Professional		$155.59	$310.01	$488.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $268.30 / $457.54 / $556.73	Facility		$268.30	$457.54	$556.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.13 / $269.13 / $457.54	Professional		$269.13	$269.13	$457.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $335.38 / $642.25	Professional		$218.00	$335.38	$642.25
United Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $228.77 / $457.54	Professional		$167.69	$228.77	$457.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $583.55 / $1,593.06 / $1,593.06	Facility		$583.55	$1,593.06	$1,593.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $1,676.90 / $2,515.35	Professional		$1,676.90	$1,676.90	$2,515.35