Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.05 / $300.05 / $517.62	Facility		$300.05	$300.05	$517.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $300.05 / $300.05	Professional		$146.30	$300.05	$300.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.14 / $508.30 / $625.98	Facility		$312.14	$508.30	$625.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $257.00 / $282.70	Professional		$238.56	$257.00	$282.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $395.25	Professional		$166.41	$227.96	$395.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $300.05 / $676.00	Facility		$98.06	$300.05	$676.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $233.00	Professional		$192.00	$192.00	$233.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $399.20 / $613.79	Professional		$399.20	$399.20	$613.79
United Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $169.43 / $247.88	Professional		$125.72	$169.43	$247.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $535.41 / $1,593.03 / $1,593.03	Facility		$535.41	$1,593.03	$1,593.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,495.10 / $4,327.29 / $4,327.29	Professional		$2,495.10	$4,327.29	$4,327.29