Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $295.12	Professional		$141.25	$190.55	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $676.08	Facility		$316.23	$501.19	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $288.40	Professional		$257.04	$263.03	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $208.93	Facility		$151.36	$190.55	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $275.42	Professional		$138.04	$138.04	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $204.17	Professional		$181.97	$194.98	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $295.12 / $478.63	Facility		$131.83	$295.12	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $331.13 / $354.81	Professional		$0.60	$331.13	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $275.42	Facility		$102.33	$151.36	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $239.88	Professional		$125.89	$169.82	$239.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Professional		$1,949.84	$1,949.84	$2,290.87