Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.83 / $232.83 / $239.81	Facility		$232.83	$232.83	$239.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $193.25 / $232.83	Professional		$78.04	$193.25	$232.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.23 / $394.43 / $485.75	Facility		$242.23	$394.43	$485.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $199.43 / $212.72	Professional		$185.12	$199.43	$212.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.82 / $232.83 / $385.56	Facility		$199.82	$232.83	$385.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $199.82 / $455.45	Professional		$171.00	$199.82	$455.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $360.60 / $523.90	Professional		$134.30	$360.60	$523.90
United Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $132.65 / $208.11	Professional		$101.24	$132.65	$208.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $415.47 / $539.78 / $1,263.03	Facility		$415.47	$539.78	$1,263.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,994.25	Professional		$1,324.18	$1,324.18	$1,994.25