Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $741.31	Professional		$363.08	$524.81	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,659.59	Facility		$794.33	$1,258.93	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $707.95	Professional		$630.96	$645.65	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $524.81	Facility		$371.54	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $676.08	Professional		$380.19	$380.19	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $588.84	Professional		$389.05	$426.58	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $741.31 / $1,258.93	Facility		$380.19	$741.31	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $676.08	Facility		$281.84	$416.87	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $630.96	Professional		$323.59	$416.87	$630.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $8,317.64	Professional		$5,495.41	$5,495.41	$8,317.64