Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.17 / $312.17 / $538.54	Facility		$312.17	$312.17	$538.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $312.17 / $312.17	Professional		$157.41	$312.17	$312.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.79 / $528.82 / $651.26	Facility		$324.79	$528.82	$651.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $267.38 / $285.20	Professional		$248.20	$267.38	$285.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $411.00	Professional		$144.50	$197.94	$411.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $312.17 / $405.82	Facility		$102.03	$312.17	$405.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $214.00 / $242.41	Professional		$214.00	$214.00	$242.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.30 / $454.55 / $610.10	Professional		$367.30	$454.55	$610.10
United Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $176.27 / $257.89	Professional		$131.69	$176.27	$257.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $557.04 / $1,651.29 / $1,651.29	Facility		$557.04	$1,651.29	$1,651.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,785.33 / $1,785.33 / $2,595.90	Professional		$1,785.33	$1,785.33	$2,595.90