Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.47 / $389.47 / $790.43	Facility		$389.47	$389.47	$790.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $389.47 / $389.47	Professional		$234.09	$389.47	$389.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.68 / $776.20 / $955.91	Facility		$476.68	$776.20	$955.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $392.46 / $392.46	Professional		$298.27	$392.46	$392.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.69 / $338.50 / $338.50	Facility		$323.69	$338.50	$338.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $606.75	Professional		$247.11	$338.50	$606.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $389.47 / $610.50	Facility		$168.53	$389.47	$610.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $294.00 / $368.00	Professional		$294.00	$294.00	$368.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $627.90 / $965.50	Professional		$627.90	$627.90	$965.50
United Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $261.06 / $407.91	Professional		$200.57	$261.06	$407.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $969.87 / $2,790.84 / $2,790.84	Facility		$969.87	$2,790.84	$2,790.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,474.60 / $3,474.60 / $3,924.60	Professional		$3,474.60	$3,474.60	$3,924.60