Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.68 / $402.68 / $694.66	Facility		$402.68	$402.68	$694.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $402.68 / $402.68	Professional		$196.33	$402.68	$402.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.70 / $442.44 / $840.09	Facility		$368.70	$442.44	$840.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.13 / $344.90 / $344.90	Professional		$262.13	$344.90	$344.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.47 / $352.55 / $352.55	Facility		$284.47	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $580.13	Professional		$257.36	$352.55	$580.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $402.68 / $523.48	Facility		$148.11	$402.68	$523.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $259.00 / $312.68	Professional		$259.00	$259.00	$312.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $652.50 / $1,003.30	Professional		$652.50	$652.50	$1,003.30
United Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $229.42 / $345.60	Professional		$176.27	$229.42	$345.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $815.60 / $2,912.51 / $2,912.51	Facility		$815.60	$2,912.51	$2,912.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,450.78 / $3,450.78 / $4,077.98	Professional		$3,450.78	$3,450.78	$4,077.98