Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.54 / $449.54 / $912.32	Facility		$449.54	$449.54	$912.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.09 / $449.54 / $449.54	Professional		$333.09	$449.54	$449.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.23 / $581.08 / $1,103.35	Facility		$484.23	$581.08	$1,103.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.49 / $452.98 / $452.99	Professional		$420.49	$452.98	$452.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.61 / $427.13 / $427.13	Facility		$373.61	$427.13	$427.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $427.13 / $765.38	Professional		$311.80	$427.13	$765.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $449.54 / $715.55	Facility		$194.53	$449.54	$715.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $340.00 / $424.00	Professional		$340.00	$340.00	$424.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $965.20 / $965.20 / $1,485.80	Professional		$965.20	$965.20	$1,485.80
United Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $302.60 / $472.72	Professional		$251.10	$302.60	$472.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,207.97 / $3,226.39 / $3,226.39	Facility		$1,207.97	$3,226.39	$3,226.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,986.28 / $3,986.28 / $6,039.83	Professional		$3,986.28	$3,986.28	$6,039.83