Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.65 / $572.59 / $987.75	Facility		$507.65	$572.59	$987.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.91 / $572.59 / $572.59	Professional		$314.91	$572.59	$572.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.70 / $969.98 / $1,194.56	Facility		$595.70	$969.98	$1,194.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.39 / $490.43 / $523.13	Professional		$441.39	$490.43	$523.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.49 / $408.60 / $408.60	Facility		$404.49	$408.60	$408.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $408.60 / $882.75	Professional		$298.27	$408.60	$882.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.61 / $572.59 / $744.37	Facility		$210.61	$572.59	$744.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.00 / $368.00 / $444.62	Professional		$368.00	$368.00	$444.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.50 / $1,045.50 / $1,607.40	Professional		$1,045.50	$1,045.50	$1,607.40
United Facility/Professional Professional Modifier Low / Median / High Price $250.64 / $326.23 / $494.97	Professional		$250.64	$326.23	$494.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,306.82 / $4,141.43 / $4,141.43	Facility		$1,306.82	$4,141.43	$4,141.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,644.63 / $4,644.63 / $6,534.08	Professional		$4,644.63	$4,644.63	$6,534.08