Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.26 / $411.26 / $709.45	Facility		$411.26	$411.26	$709.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $411.26 / $411.26	Professional		$179.67	$411.26	$411.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.58 / $451.89 / $857.99	Facility		$376.58	$451.89	$857.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $352.25 / $352.25	Professional		$267.70	$352.25	$352.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.52 / $291.02 / $291.02	Facility		$290.52	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $544.88	Professional		$212.45	$291.02	$544.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $409.14 / $534.64	Facility		$120.15	$409.14	$534.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $264.00 / $319.33	Professional		$264.00	$264.00	$319.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $479.40 / $479.40 / $737.10	Professional		$479.40	$479.40	$737.10
United Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $184.46 / $211.05	Facility		$143.40	$184.46	$211.05
United Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $222.97 / $339.75	Professional		$156.21	$222.97	$339.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $733.86 / $2,362.69 / $2,362.69	Facility		$733.86	$2,362.69	$2,362.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,615.53 / $3,615.53 / $3,615.53	Professional		$3,615.53	$3,615.53	$3,615.53