Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $282.95 / $282.95	Facility		$282.95	$282.95	$282.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $282.95 / $282.95	Professional		$136.94	$282.95	$282.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.95 / $411.54 / $590.30	Facility		$342.95	$411.54	$590.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.55 / $255.91 / $281.50	Professional		$237.55	$255.91	$281.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $278.10 / $298.13	Professional		$203.01	$278.10	$298.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $282.95 / $339.54	Facility		$84.12	$282.95	$339.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $328.83 / $328.83 / $328.83	Professional		$328.83	$328.83	$328.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.20 / $276.20 / $276.20	Professional		$276.20	$276.20	$276.20
United Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $207.73 / $295.95	Professional		$146.09	$207.73	$295.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.44 / $1,140.66 / $1,140.66	Facility		$407.44	$1,140.66	$1,140.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,743.30 / $1,743.30 / $1,743.30	Professional		$1,743.30	$1,743.30	$1,743.30