Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.55 / $315.55 / $315.55	Facility		$315.55	$315.55	$315.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.51 / $315.55 / $315.55	Professional		$154.51	$315.55	$315.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.42 / $534.54 / $658.31	Facility		$429.42	$534.54	$658.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.57 / $283.94 / $312.33	Professional		$263.57	$283.94	$312.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $312.30 / $334.50	Professional		$227.98	$312.30	$334.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $315.55 / $378.66	Facility		$94.35	$315.55	$378.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $362.39 / $362.39	Professional		$362.39	$362.39	$362.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $309.70 / $309.70	Professional		$309.70	$309.70	$309.70
United Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $228.94 / $326.14	Professional		$154.00	$228.94	$326.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $456.94 / $1,271.08 / $1,271.08	Facility		$456.94	$1,271.08	$1,271.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,214.14 / $2,214.14 / $2,214.14	Professional		$2,214.14	$2,214.14	$2,214.14