Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.04 / $362.04 / $624.54	Facility		$362.04	$362.04	$624.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.52 / $362.04 / $362.04	Professional		$176.52	$362.04	$362.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.50 / $397.80 / $755.31	Facility		$331.50	$397.80	$755.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.85 / $310.08 / $310.10	Professional		$287.85	$310.08	$310.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.76 / $273.20 / $273.20	Facility		$255.76	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $273.20 / $564.00	Professional		$199.44	$273.20	$564.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $362.04 / $470.65	Facility		$133.16	$362.04	$470.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $281.13	Professional		$232.00	$232.00	$281.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $556.90 / $556.90 / $856.30	Professional		$556.90	$556.90	$856.30
United Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $206.27 / $323.61	Professional		$158.47	$206.27	$323.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $711.21 / $2,618.63 / $2,618.63	Facility		$711.21	$2,618.63	$2,618.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,280.95 / $3,280.95 / $3,480.83	Professional		$3,280.95	$3,280.95	$3,480.83