Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.24 / $373.24 / $757.51	Facility		$373.24	$373.24	$757.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.43 / $373.24 / $373.24	Professional		$268.43	$373.24	$373.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.05 / $482.46 / $916.09	Facility		$402.05	$482.46	$916.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $376.11 / $376.11	Professional		$285.83	$376.11	$376.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.20 / $344.22 / $344.22	Facility		$310.20	$344.22	$344.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $344.22 / $616.88	Professional		$251.28	$344.22	$616.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.51 / $373.24 / $594.12	Facility		$161.51	$373.24	$594.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $282.00 / $352.00	Professional		$282.00	$282.00	$352.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $601.70 / $925.20	Professional		$601.70	$601.70	$925.20
United Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $250.18 / $392.49	Professional		$192.21	$250.18	$392.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $949.47 / $2,561.73 / $2,561.73	Facility		$949.47	$2,561.73	$2,561.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,309.77 / $3,309.77 / $3,761.10	Professional		$3,309.77	$3,309.77	$3,761.10