Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $501.19	Professional		$251.19	$323.59	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,148.15	Facility		$537.03	$851.14	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $467.74	Professional		$426.58	$436.52	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $331.13 / $354.81	Facility		$257.04	$331.13	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $426.58	Professional		$239.88	$239.88	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $407.38	Professional		$295.12	$316.23	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $501.19 / $851.14	Facility		$245.47	$501.19	$851.14
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 $177.83 / $257.04 / $457.09	Facility		$177.83	$257.04	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $398.11	Professional		$218.78	$281.84	$398.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $5,011.87	Professional		$3,235.94	$3,235.94	$5,011.87