Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $377.90 / $779.00	Facility		$214.77	$377.90	$779.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.95 / $392.63 / $470.48	Professional		$351.95	$392.63	$470.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.84 / $634.60 / $792.33	Facility		$375.84	$634.60	$792.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.14 / $456.88 / $699.89	Professional		$437.14	$456.88	$699.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $392.63 / $448.52	Facility		$370.40	$392.63	$448.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $460.15	Professional		$392.63	$392.63	$460.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.63 / $322.11 / $489.05	Facility		$165.63	$322.11	$489.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $463.97 / $542.00	Professional		$165.63	$463.97	$542.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $591.50 / $645.64 / $751.88	Professional		$591.50	$645.64	$751.88
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $416.19 / $471.16	Professional		$392.63	$416.19	$471.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $522.28 / $1,963.15 / $1,963.15	Facility		$522.28	$1,963.15	$1,963.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,283.71 / $6,283.71 / $6,283.71	Professional		$6,283.71	$6,283.71	$6,283.71