Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.11 / $609.09 / $703.90	Facility		$442.11	$609.09	$703.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $442.11 / $609.09	Professional		$422.89	$442.11	$609.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.08 / $664.65 / $1,452.08	Facility		$494.08	$664.65	$1,452.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.82 / $409.52 / $1,004.26	Professional		$366.82	$409.52	$1,004.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $422.89 / $703.90	Facility		$398.96	$422.89	$703.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $743.14	Professional		$422.89	$422.89	$743.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $494.08 / $910.93	Facility		$422.89	$494.08	$910.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $508.30 / $580.00	Professional		$387.66	$508.30	$580.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $597.00 / $676.63 / $809.84	Professional		$597.00	$676.63	$809.84
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $448.26 / $527.26	Professional		$422.89	$448.26	$527.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $703.90 / $2,114.44 / $2,114.44	Facility		$703.90	$2,114.44	$2,114.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,968.33 / $1,968.33 / $1,968.33	Professional		$1,968.33	$1,968.33	$1,968.33