Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.81 / $263.81 / $455.08	Facility		$263.81	$263.81	$455.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $263.81 / $263.81	Professional		$128.63	$263.81	$263.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.45 / $446.91 / $550.38	Facility		$274.45	$446.91	$550.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $225.95 / $225.95	Professional		$171.72	$225.95	$225.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.37 / $218.57 / $218.57	Facility		$186.37	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $391.88	Professional		$159.56	$218.57	$391.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $263.81 / $342.95	Facility		$97.03	$263.81	$342.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $169.00 / $204.85	Professional		$169.00	$169.00	$204.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.70 / $449.70 / $691.50	Professional		$449.70	$449.70	$691.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $150.31 / $228.05	Professional		$115.48	$150.31	$228.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $562.16 / $1,908.08 / $1,908.08	Facility		$562.16	$1,908.08	$1,908.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,165.17 / $2,165.17 / $2,810.78	Professional		$2,165.17	$2,165.17	$2,810.78