Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.26 / $407.26 / $702.56	Facility		$407.26	$407.26	$702.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.57 / $407.26 / $407.26	Professional		$198.57	$407.26	$407.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.89 / $447.47 / $849.65	Facility		$372.89	$447.47	$849.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $348.83 / $348.83	Professional		$265.11	$348.83	$348.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.70 / $290.63 / $290.63	Facility		$287.70	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $574.50	Professional		$212.16	$290.63	$574.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $407.26 / $529.44	Facility		$149.80	$407.26	$529.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $262.00 / $316.25	Professional		$262.00	$262.00	$316.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $744.20 / $744.20 / $1,144.20	Professional		$744.20	$744.20	$1,144.20
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $232.04 / $352.05	Professional		$178.28	$232.04	$352.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $930.20 / $2,945.62 / $2,945.62	Facility		$930.20	$2,945.62	$2,945.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,455.00 / $4,455.00 / $4,650.97	Professional		$4,455.00	$4,455.00	$4,650.97