Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.39 / $267.39 / $542.67	Facility		$267.39	$267.39	$542.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $267.39 / $267.39	Professional		$169.60	$267.39	$267.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.02 / $345.64 / $656.31	Facility		$288.02	$345.64	$656.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $269.45 / $269.45	Professional		$204.78	$269.45	$269.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $467.63	Professional		$198.33	$271.68	$467.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $267.39 / $404.58	Facility		$108.72	$267.39	$404.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $253.00	Professional		$202.00	$202.00	$253.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.90 / $426.90 / $656.40	Professional		$426.90	$426.90	$656.40
United Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $179.99 / $276.19	Professional		$140.34	$179.99	$276.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $677.64 / $1,747.51 / $1,747.51	Facility		$677.64	$1,747.51	$1,747.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,856.00 / $1,856.00 / $2,668.13	Professional		$1,856.00	$1,856.00	$2,668.13