Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.43 / $405.43 / $699.40	Facility		$405.43	$405.43	$699.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $405.43 / $405.43	Professional		$197.68	$405.43	$405.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.22 / $445.46 / $845.84	Facility		$371.22	$445.46	$845.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.52 / $347.26 / $370.41	Professional		$312.52	$347.26	$370.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $295.70 / $529.88	Professional		$215.87	$295.70	$529.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $405.43 / $527.05	Facility		$135.56	$405.43	$527.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $259.00 / $314.82	Professional		$259.00	$259.00	$314.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $505.10 / $505.10 / $776.60	Professional		$505.10	$505.10	$776.60
United Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $208.12 / $238.12	Facility		$161.79	$208.12	$238.12
United Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $228.94 / $334.94	Professional		$173.80	$228.94	$334.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $723.46 / $2,665.75 / $2,665.75	Facility		$723.46	$2,665.75	$2,665.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,693.81 / $2,693.81 / $3,156.83	Professional		$2,693.81	$2,693.81	$3,156.83