Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.81 / $324.81 / $659.20	Facility		$324.81	$324.81	$659.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.47 / $324.81 / $324.81	Professional		$206.47	$324.81	$324.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.56 / $647.34 / $797.22	Facility		$397.56	$647.34	$797.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $327.30 / $327.30	Professional		$248.75	$327.30	$327.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.95 / $366.26 / $366.26	Facility		$269.95	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $635.25	Professional		$267.37	$366.26	$635.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $324.81 / $491.45	Facility		$140.55	$324.81	$491.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $307.00	Professional		$245.00	$245.00	$307.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $563.79 / $866.90	Professional		$563.79	$563.79	$866.90
United Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $218.64 / $341.56	Professional		$181.43	$218.64	$341.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $920.61 / $2,323.85 / $2,323.85	Facility		$920.61	$2,323.85	$2,323.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,880.26 / $2,880.26 / $3,523.65	Professional		$2,880.26	$2,880.26	$3,523.65