Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $457.09	Professional		$245.47	$380.19	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,148.15	Facility		$467.74	$562.34	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $478.63	Professional		$426.58	$436.52	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $489.78 / $489.78	Facility		$104.71	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Professional		$363.08	$363.08	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $457.09	Professional		$295.12	$323.59	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $851.14	Facility		$245.47	$489.78	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $426.58 / $457.09	Facility		$239.88	$426.58	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $436.52	Professional		$239.88	$288.40	$436.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,265.80	Professional		$3,467.37	$3,467.37	$4,265.80