Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.94 / $411.15 / $824.63	Facility		$382.94	$411.15	$824.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $411.15 / $427.27	Professional		$386.96	$411.15	$427.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.79 / $867.83 / $917.41	Facility		$495.79	$867.83	$917.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.67 / $495.79 / $545.37	Professional		$474.67	$495.79	$545.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $483.70	Professional		$411.15	$411.15	$483.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $334.32 / $411.15 / $534.91	Facility		$334.32	$411.15	$534.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $482.00 / $651.27	Professional		$334.32	$482.00	$651.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $790.40 / $790.40 / $790.40	Professional		$790.40	$790.40	$790.40
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $524.00	Professional		$403.08	$427.26	$524.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $665.91 / $2,136.35	Facility		$566.00	$665.91	$2,136.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,838.06 / $1,838.06 / $2,176.65	Professional		$1,838.06	$1,838.06	$2,176.65