Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.86 / $323.86 / $657.25	Facility		$323.86	$323.86	$657.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.58 / $323.86 / $323.86	Professional		$227.58	$323.86	$323.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.86 / $418.63 / $794.87	Facility		$348.86	$418.63	$794.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.02 / $326.33 / $326.33	Professional		$248.02	$326.33	$326.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $698.91	Professional		$200.41	$200.41	$698.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $323.86 / $511.80	Facility		$140.13	$323.86	$511.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $306.00	Professional		$245.00	$245.00	$306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.20 / $696.20 / $1,070.40	Professional		$696.20	$696.20	$1,070.40
United Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $217.99 / $340.51	Professional		$180.90	$217.99	$340.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $870.24 / $2,359.33 / $2,359.33	Facility		$870.24	$2,359.33	$2,359.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,871.79 / $2,871.79 / $4,351.20	Professional		$2,871.79	$2,871.79	$4,351.20