Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $283.52 / $637.00	Facility		$283.52	$283.52	$637.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $283.52 / $342.31	Professional		$147.00	$283.52	$342.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $110.00 / $110.00	Professional		$70.00	$110.00	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $353.38	Facility		$353.38	$353.38	$353.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $422.98 / $672.79	Professional		$300.77	$422.98	$672.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $313.64 / $356.79	Facility		$208.00	$313.64	$356.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $250.00 / $407.00	Professional		$164.00	$250.00	$407.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $185.55 / $378.28	Professional		$99.01	$185.55	$378.28
United Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $332.44 / $602.22	Professional		$260.01	$332.44	$602.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $516.59 / $1,096.25 / $1,645.73	Facility		$516.59	$1,096.25	$1,645.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,852.75 / $1,852.75 / $2,653.43	Professional		$1,852.75	$1,852.75	$2,653.43