Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $676.08	Professional		$323.59	$489.78	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,513.56	Facility		$724.44	$1,148.15	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $645.65	Professional		$575.44	$588.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $549.54	Facility		$338.84	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $616.60	Professional		$398.11	$398.11	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $467.74 / $512.86	Professional		$436.52	$467.74	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $676.08 / $1,174.90	Facility		$331.13	$676.08	$1,174.90
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 $257.04 / $380.19 / $616.60	Facility		$257.04	$380.19	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $575.44	Professional		$295.12	$380.19	$575.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,413.10	Professional		$6,025.60	$6,025.60	$7,413.10