Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $310.06 / $610.94	Facility		$212.98	$310.06	$610.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $310.06 / $310.06	Professional		$162.26	$310.06	$310.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.58 / $525.26 / $646.87	Facility		$322.58	$525.26	$646.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $265.58 / $283.27	Professional		$246.52	$265.58	$283.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $242.00 / $332.02	Professional		$155.47	$242.00	$332.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $310.06 / $421.38	Facility		$101.34	$310.06	$421.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $259.12 / $259.12	Professional		$259.12	$259.12	$259.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $382.43 / $593.91	Professional		$345.80	$382.43	$593.91
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $175.07 / $256.14	Professional		$129.91	$175.07	$256.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $553.28 / $1,640.11 / $1,640.11	Facility		$553.28	$1,640.11	$1,640.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,773.08 / $2,578.35 / $2,578.35	Professional		$1,773.08	$2,578.35	$2,578.35