Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.46 / $489.46 / $993.36	Facility		$489.46	$489.46	$993.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $489.46 / $489.46	Professional		$294.19	$489.46	$489.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.09 / $975.49 / $1,201.33	Facility		$599.09	$975.49	$1,201.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.84 / $493.22 / $542.54	Professional		$457.84	$493.22	$542.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.79 / $410.92 / $410.92	Facility		$406.79	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $864.00	Professional		$299.97	$410.92	$864.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $489.46 / $779.11	Facility		$211.80	$489.46	$779.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $370.00 / $462.00	Professional		$370.00	$370.00	$462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $835.60 / $835.60 / $1,284.80	Professional		$835.60	$835.60	$1,284.80
United Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $328.08 / $514.70	Professional		$273.39	$328.08	$514.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,315.25 / $3,432.45 / $3,432.45	Facility		$1,315.25	$3,432.45	$3,432.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,241.91 / $4,241.91 / $5,222.70	Professional		$4,241.91	$4,241.91	$5,222.70