Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $416.00 / $838.21	Facility		$327.60	$416.00	$838.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $416.00 / $551.20	Professional		$345.80	$416.00	$551.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,084.84 / $1,527.48 / $1,527.48	Facility		$1,084.84	$1,527.48	$1,527.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $371.54 / $832.00	Professional		$100.00	$371.54	$832.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.12 / $429.60 / $1,365.58	Facility		$395.12	$429.60	$1,365.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.10 / $386.15 / $757.48	Professional		$241.10	$386.15	$757.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $520.00 / $780.00	Facility		$416.00	$520.00	$780.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $520.00	Professional		$200.00	$200.00	$520.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $520.00 / $995.80	Professional		$338.00	$520.00	$995.80
United Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $312.00 / $780.00	Professional		$260.00	$312.00	$780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $904.80 / $2,470.00 / $2,470.00	Facility		$904.80	$2,470.00	$2,470.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $3,900.00	Professional		$2,600.00	$2,600.00	$3,900.00