Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.60 / $323.60 / $558.22	Facility		$323.60	$323.60	$558.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $323.60 / $323.60	Professional		$157.78	$323.60	$323.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.29 / $355.55 / $675.11	Facility		$296.29	$355.55	$675.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $277.16 / $277.16	Professional		$210.64	$277.16	$277.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.59 / $230.92 / $230.92	Facility		$228.59	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $428.25	Professional		$168.57	$230.92	$428.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $323.60 / $420.68	Facility		$119.03	$323.60	$420.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $260.00	Professional		$208.00	$208.00	$260.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.50 / $443.50 / $681.80	Professional		$443.50	$443.50	$681.80
United Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $184.37 / $277.72	Professional		$141.65	$184.37	$277.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $622.11 / $2,340.52 / $2,340.52	Facility		$622.11	$2,340.52	$2,340.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,045.11 / $3,045.11 / $3,045.11	Professional		$3,045.11	$3,045.11	$3,045.11