Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.66 / $103.66 / $103.66	Facility		$103.66	$103.66	$103.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $103.66 / $103.66	Professional		$72.90	$103.66	$103.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.55 / $641.59 / $684.36	Professional		$595.55	$641.59	$684.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.66 / $325.95 / $532.40	Facility		$103.66	$325.95	$532.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.18 / $362.18 / $362.18	Professional		$362.18	$362.18	$362.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.20 / $1,483.20 / $1,483.20	Professional		$1,483.20	$1,483.20	$1,483.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,870.26	Professional		$1,438.66	$1,438.66	$1,870.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,977.60 / $2,441.87 / $5,503.61	Facility		$1,977.60	$2,441.87	$5,503.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,979.29 / $8,078.78 / $8,078.78	Professional		$5,979.29	$8,078.78	$8,078.78