Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.18 / $304.18 / $524.71	Facility		$304.18	$304.18	$524.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $304.18 / $304.18	Professional		$148.30	$304.18	$304.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.44 / $515.29 / $634.59	Facility		$316.44	$515.29	$634.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.85 / $260.54 / $277.89	Professional		$241.85	$260.54	$277.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $400.50	Professional		$140.82	$192.91	$400.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $304.18 / $395.43	Facility		$99.43	$304.18	$395.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $404.70 / $571.40 / $622.20	Professional		$404.70	$571.40	$622.20
United Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $171.76 / $251.29	Professional		$127.47	$171.76	$251.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $542.78 / $1,609.26 / $1,609.26	Facility		$542.78	$1,609.26	$1,609.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,742.90 / $2,529.23 / $2,529.23	Professional		$1,742.90	$2,529.23	$2,529.23