Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.83 / $498.83 / $498.83	Facility		$498.83	$498.83	$498.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.58 / $493.14 / $586.16	Professional		$411.58	$493.14	$586.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.06 / $863.57 / $1,095.92	Professional		$511.06	$863.57	$1,095.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.26 / $569.26 / $569.26	Facility		$569.26	$569.26	$569.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.83 / $648.48 / $1,141.13	Professional		$456.83	$648.48	$1,141.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.45 / $497.95 / $732.17	Facility		$456.45	$497.95	$732.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $337.02 / $547.00 / $1,039.89	Professional		$337.02	$547.00	$1,039.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.20 / $668.12 / $1,011.10	Professional		$339.20	$668.12	$1,011.10
United Facility/Professional Professional Modifier Low / Median / High Price $371.12 / $478.12 / $828.97	Professional		$371.12	$478.12	$828.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,154.21 / $2,454.17 / $2,454.17	Facility		$1,154.21	$2,454.17	$2,454.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,154.82 / $3,624.69 / $4,047.83	Professional		$3,154.82	$3,624.69	$4,047.83