Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.12 / $468.33 / $3,098.70	Facility		$336.12	$468.33	$3,098.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $333.42 / $572.36	Professional		$277.16	$333.42	$572.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.69 / $808.48 / $869.51	Facility		$666.69	$808.48	$869.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.95 / $375.10 / $633.51	Professional		$233.95	$375.10	$633.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $579.99 / $1,094.24	Facility		$316.69	$579.99	$1,094.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $309.33 / $797.18	Professional		$193.33	$309.33	$797.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.23 / $275.23 / $604.33	Facility		$275.23	$275.23	$604.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $275.23 / $567.75	Professional		$275.23	$275.23	$567.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $439.70	Professional		$416.78	$416.78	$439.70
United Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $250.07 / $416.78	Professional		$137.62	$250.07	$416.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $730.98 / $1,979.71 / $1,979.71	Facility		$730.98	$1,979.71	$1,979.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,083.90 / $2,083.90 / $3,125.85	Professional		$2,083.90	$2,083.90	$3,125.85