Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $302.00	Professional		$204.17	$275.42	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $1,819.70	Facility		$776.25	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $363.08	Facility		$204.17	$275.42	$363.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $588.84	Professional		$380.19	$426.58	$588.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03