Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $513.16 / $885.24	Facility		$513.16	$513.16	$885.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $513.16 / $513.16	Professional		$258.77	$513.16	$513.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.89 / $869.33 / $1,070.59	Facility		$533.89	$869.33	$1,070.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $439.55 / $468.85	Professional		$408.01	$439.55	$468.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $379.00 / $519.99	Professional		$237.52	$379.00	$519.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $513.16 / $703.97	Facility		$167.71	$513.16	$703.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $440.42 / $440.42 / $440.42	Professional		$440.42	$440.42	$440.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $572.32 / $732.58 / $1,049.59	Professional		$572.32	$732.58	$1,049.59
United Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $292.38 / $423.95	Professional		$216.48	$292.38	$423.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $915.71 / $2,714.31 / $2,714.31	Facility		$915.71	$2,714.31	$2,714.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,934.66 / $4,266.75 / $4,266.75	Professional		$2,934.66	$4,266.75	$4,266.75