Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.23 / $253.23 / $436.85	Facility		$253.23	$253.23	$436.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $253.23 / $253.23	Professional		$154.59	$253.23	$253.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $428.98 / $528.29	Facility		$263.45	$428.98	$528.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $216.90 / $238.59	Professional		$201.34	$216.90	$238.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $180.71 / $180.71	Facility		$178.90	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $447.00	Professional		$131.91	$180.71	$447.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $253.23 / $330.62	Facility		$93.15	$253.23	$330.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $196.64	Professional		$163.00	$163.00	$196.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $458.00 / $711.50	Professional		$458.00	$458.00	$711.50
United Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $144.28 / $226.35	Professional		$110.85	$144.28	$226.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $578.40 / $1,831.60 / $1,831.60	Facility		$578.40	$1,831.60	$1,831.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,968.47 / $2,968.47 / $2,968.47	Professional		$2,968.47	$2,968.47	$2,968.47