Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.27 / $666.84 / $937.60	Facility		$353.27	$666.84	$937.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $393.63 / $625.16	Professional		$277.16	$393.63	$625.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.51 / $1,568.75 / $1,686.83	Facility		$869.51	$1,568.75	$1,686.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.43 / $312.58 / $416.78	Professional		$234.43	$312.58	$416.78
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 / $325.60 / $804.79	Professional		$193.33	$325.60	$804.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.80 / $275.80 / $647.60	Facility		$275.80	$275.80	$647.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.80 / $275.80 / $334.46	Professional		$275.80	$275.80	$334.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,501.35 / $3,501.35 / $14,240.72	Facility		$3,501.35	$3,501.35	$14,240.72
United Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $250.07 / $429.28	Professional		$137.90	$250.07	$429.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $732.57 / $1,979.71 / $1,979.71	Facility		$732.57	$1,979.71	$1,979.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,199.80 / $2,199.80 / $3,125.85	Professional		$2,199.80	$2,199.80	$3,125.85