Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.07 / $417.07 / $719.46	Facility		$417.07	$417.07	$719.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.35 / $417.07 / $417.07	Professional		$203.35	$417.07	$417.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.88 / $458.26 / $870.11	Facility		$381.88	$458.26	$870.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.60 / $357.22 / $357.23	Professional		$331.60	$357.22	$357.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.63 / $297.62 / $297.62	Facility		$294.63	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $633.75	Professional		$217.26	$297.62	$633.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $417.07 / $542.19	Facility		$153.41	$417.07	$542.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $268.00 / $323.86	Professional		$268.00	$268.00	$323.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.90 / $583.90 / $897.80	Professional		$583.90	$583.90	$897.80
United Facility/Professional Professional Modifier Low / Median / High Price $182.57 / $237.62 / $357.94	Professional		$182.57	$237.62	$357.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $815.69 / $3,016.58 / $3,016.58	Facility		$815.69	$3,016.58	$3,016.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,721.19 / $3,721.19 / $3,721.19	Professional		$3,721.19	$3,721.19	$3,721.19