Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.92 / $393.92 / $679.54	Facility		$393.92	$393.92	$679.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $393.92 / $393.92	Professional		$176.63	$393.92	$393.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.85 / $667.32 / $821.82	Facility		$409.85	$667.32	$821.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.43 / $337.40 / $337.40	Professional		$256.43	$337.40	$337.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $278.29	Facility		$218.27	$218.27	$278.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $391.13	Professional		$159.34	$218.27	$391.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $393.92 / $512.10	Facility		$108.67	$393.92	$512.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $253.00 / $305.88	Professional		$253.00	$253.00	$305.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $539.79 / $539.79 / $830.00	Professional		$539.79	$539.79	$830.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $213.57 / $317.00	Professional		$149.62	$213.57	$317.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $684.92 / $1,743.72 / $1,743.72	Facility		$684.92	$1,743.72	$1,743.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,159.38 / $2,159.38 / $3,374.03	Professional		$2,159.38	$2,159.38	$3,374.03