Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $229.09 / $562.34	Facility		$218.78	$229.09	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $309.03	Professional		$218.78	$239.88	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $489.78	Facility		$309.03	$389.05	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $281.84	Professional		$204.17	$251.19	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $354.81	Facility		$239.88	$239.88	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $269.15	Professional		$239.88	$239.88	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $239.88 / $380.19	Facility		$218.78	$239.88	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $323.59 / $389.05	Professional		$0.60	$323.59	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $426.58	Facility		$234.42	$389.05	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $269.15	Professional		$234.42	$257.04	$269.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29