Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.72 / $263.72 / $454.92	Facility		$263.72	$263.72	$454.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $263.72 / $263.72	Professional		$128.58	$263.72	$263.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.46 / $289.76 / $550.17	Facility		$241.46	$289.76	$550.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $225.88 / $225.88	Professional		$171.67	$225.88	$225.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.29 / $188.19 / $188.19	Facility		$186.29	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $349.13	Professional		$137.38	$188.19	$349.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $263.72 / $342.84	Facility		$97.00	$263.72	$342.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $169.00 / $204.77	Professional		$169.00	$169.00	$204.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.40 / $361.40 / $555.70	Professional		$361.40	$361.40	$555.70
United Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $150.25 / $226.33	Professional		$115.44	$150.25	$226.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $506.66 / $1,907.41 / $1,907.41	Facility		$506.66	$1,907.41	$1,907.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,831.45 / $2,831.45 / $2,831.45	Professional		$2,831.45	$2,831.45	$2,831.45