Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.45 / $454.45 / $783.96	Facility		$454.45	$454.45	$783.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.02 / $454.45 / $454.45	Professional		$223.02	$454.45	$454.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.80 / $769.86 / $948.10	Facility		$472.80	$769.86	$948.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $389.25 / $389.25	Professional		$295.83	$389.25	$389.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.04 / $324.30 / $324.30	Facility		$321.04	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $256.83 / $750.75	Professional		$236.74	$256.83	$750.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $454.45 / $593.41	Facility		$167.15	$454.45	$593.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $292.00 / $352.88	Professional		$292.00	$292.00	$352.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $767.30 / $767.30 / $1,179.80	Professional		$767.30	$767.30	$1,179.80
United Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $258.92 / $406.20	Professional		$198.93	$258.92	$406.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $959.18 / $3,287.00 / $3,287.00	Facility		$959.18	$3,287.00	$3,287.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,321.60 / $3,321.60 / $4,795.88	Professional		$3,321.60	$3,321.60	$4,795.88