Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $354.81	Professional		$181.97	$251.19	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $794.33	Facility		$331.13	$398.11	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $309.03 / $338.84	Professional		$302.00	$309.03	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $251.19	Facility		$177.83	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $331.13	Professional		$181.97	$181.97	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $309.03	Professional		$208.93	$223.87	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $354.81 / $602.56	Facility		$173.78	$354.81	$602.56
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 $134.90 / $199.53 / $323.59	Facility		$134.90	$199.53	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $302.00	Professional		$154.88	$199.53	$302.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,801.89	Professional		$3,019.95	$3,019.95	$3,801.89