Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.32 / $270.32 / $466.32	Facility		$270.32	$270.32	$466.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.29 / $270.32 / $270.32	Professional		$134.29	$270.32	$270.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.24 / $457.93 / $563.95	Facility		$281.24	$457.93	$563.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.97 / $231.54 / $231.54	Professional		$175.97	$231.54	$231.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.96 / $196.21 / $196.21	Facility		$190.96	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $351.75	Professional		$143.22	$196.21	$351.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $270.32 / $363.11	Facility		$97.69	$270.32	$363.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $209.90	Professional		$174.00	$174.00	$209.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $484.10 / $484.10 / $746.20	Professional		$484.10	$484.10	$746.20
United Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $154.01 / $241.62	Professional		$118.33	$154.01	$241.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $606.65 / $1,921.04 / $1,921.04	Facility		$606.65	$1,921.04	$1,921.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,652.62 / $2,652.62 / $3,033.23	Professional		$2,652.62	$2,652.62	$3,033.23