Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.69 / $516.69 / $516.69	Facility		$516.69	$516.69	$516.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $513.40 / $631.92	Professional		$441.95	$513.40	$631.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.71 / $817.69 / $1,196.08	Professional		$459.71	$817.69	$1,196.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.85 / $591.85 / $591.85	Facility		$591.85	$591.85	$591.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.98 / $686.39 / $1,196.73	Professional		$484.98	$686.39	$1,196.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $483.11 / $527.94 / $769.91	Facility		$483.11	$527.94	$769.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.87 / $597.00 / $1,130.63	Professional		$354.87	$597.00	$1,130.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $566.66 / $771.50 / $1,046.90	Professional		$566.66	$771.50	$1,046.90
United Facility/Professional Professional Modifier Low / Median / High Price $412.20 / $512.96 / $904.80	Professional		$412.20	$512.96	$904.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,196.65 / $2,542.82 / $2,542.82	Facility		$1,196.65	$2,542.82	$2,542.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,266.93 / $3,786.99 / $4,193.63	Professional		$3,266.93	$3,786.99	$4,193.63