Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.37 / $298.37 / $514.67	Facility		$298.37	$298.37	$514.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $298.37 / $298.37	Professional		$145.47	$298.37	$298.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.41 / $505.45 / $622.47	Facility		$310.41	$505.45	$622.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.23 / $255.56 / $255.56	Professional		$194.23	$255.56	$255.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $210.76	Facility		$189.91	$189.91	$210.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $398.63	Professional		$138.63	$189.91	$398.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $298.37 / $390.28	Facility		$97.89	$298.37	$390.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $231.68	Professional		$192.00	$192.00	$231.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.76 / $364.70 / $583.14	Professional		$332.76	$364.70	$583.14
United Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $169.99 / $266.68	Professional		$130.60	$169.99	$266.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $532.41 / $1,632.96 / $1,632.96	Facility		$532.41	$1,632.96	$1,632.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,931.89 / $1,931.89 / $2,279.48	Professional		$1,931.89	$1,931.89	$2,279.48