Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.84 / $796.48 / $796.48	Facility		$224.84	$796.48	$796.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.48 / $796.48 / $903.21	Professional		$796.48	$796.48	$903.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $123.11 / $135.41	Professional		$123.10	$123.11	$135.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $1,062.59	Professional		$903.21	$903.21	$1,062.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.91 / $264.17 / $876.13	Facility		$183.91	$264.17	$876.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $183.91 / $183.91	Professional		$183.91	$183.91	$183.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.74 / $1,790.26 / $2,127.79	Professional		$1,715.74	$1,790.26	$2,127.79
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,168.85	Professional		$885.50	$885.50	$1,168.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,009.47 / $1,009.47 / $3,576.45	Facility		$1,009.47	$1,009.47	$3,576.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,037.88 / $4,037.88 / $4,554.00	Professional		$4,037.88	$4,037.88	$4,554.00