Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $645.65	Professional		$331.13	$501.19	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,513.56	Facility		$630.96	$758.58	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $645.65	Professional		$575.44	$588.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $575.44	Facility		$338.84	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $616.60	Professional		$416.87	$416.87	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $562.34	Professional		$354.81	$380.19	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $645.65 / $1,122.02	Facility		$331.13	$645.65	$1,122.02
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 $316.23 / $575.44 / $616.60	Facility		$316.23	$575.44	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $588.84	Professional		$316.23	$380.19	$588.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $7,762.47	Professional		$5,128.61	$5,128.61	$7,762.47