Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $256.00 / $515.83	Facility		$201.60	$256.00	$515.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $256.00 / $339.20	Professional		$212.80	$256.00	$339.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.60 / $874.20 / $940.00	Facility		$667.60	$874.20	$940.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $272.00 / $576.00	Professional		$144.00	$272.00	$576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $445.59 / $839.81	Facility		$243.15	$445.59	$839.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $237.65 / $466.18	Professional		$148.27	$237.65	$466.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $320.00 / $480.00	Facility		$256.00	$320.00	$480.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $320.00	Professional		$208.00	$208.00	$320.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $320.00 / $612.79	Professional		$208.00	$320.00	$612.79
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $192.00 / $329.60	Professional		$160.00	$192.00	$329.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $556.79 / $1,520.00 / $1,520.00	Facility		$556.79	$1,520.00	$1,520.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $1,600.00 / $2,400.00	Professional		$1,600.00	$1,600.00	$2,400.00