Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.34 / $508.34 / $876.86	Facility		$508.34	$508.34	$876.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.84 / $508.34 / $508.34	Professional		$247.84	$508.34	$508.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.83 / $861.15 / $1,060.53	Facility		$528.83	$861.15	$1,060.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $435.41 / $464.44	Professional		$391.87	$435.41	$464.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $664.13	Professional		$253.65	$347.46	$664.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $508.34 / $660.84	Facility		$166.32	$508.34	$660.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $325.00 / $394.71	Professional		$325.00	$325.00	$394.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $619.70 / $619.70 / $952.80	Professional		$619.70	$619.70	$952.80
United Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $287.02 / $454.34	Professional		$214.69	$287.02	$454.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $907.10 / $3,230.95 / $3,230.95	Facility		$907.10	$3,230.95	$3,230.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,264.96 / $3,264.96 / $3,873.08	Professional		$3,264.96	$3,264.96	$3,873.08