Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.08 / $299.08 / $515.99	Facility		$299.08	$299.08	$515.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $299.08 / $299.08	Professional		$145.83	$299.08	$299.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.19 / $506.67 / $623.98	Facility		$311.19	$506.67	$623.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.69 / $256.18 / $256.18	Professional		$194.69	$256.18	$256.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $211.31	Facility		$205.09	$205.09	$211.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $367.50	Professional		$149.72	$205.09	$367.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $299.08 / $399.10	Facility		$102.11	$299.08	$399.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $232.27	Professional		$192.00	$192.00	$232.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.50 / $380.50 / $585.00	Professional		$380.50	$380.50	$585.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $170.41 / $242.05	Professional		$130.04	$170.41	$242.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $550.52 / $2,007.97 / $2,007.97	Facility		$550.52	$2,007.97	$2,007.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,916.26 / $3,916.26 / $3,916.26	Professional		$3,916.26	$3,916.26	$3,916.26