Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.40 / $457.40 / $928.30	Facility		$457.40	$457.40	$928.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.92 / $457.40 / $457.40	Professional		$274.92	$457.40	$457.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.73 / $591.27 / $1,122.65	Facility		$492.73	$591.27	$1,122.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.29 / $460.91 / $460.91	Professional		$350.29	$460.91	$460.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.15 / $452.18 / $452.18	Facility		$380.15	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $452.18 / $810.38	Professional		$330.09	$452.18	$810.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $457.40 / $692.07	Facility		$197.93	$457.40	$692.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $346.00 / $432.00	Professional		$346.00	$346.00	$432.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $737.50 / $737.50 / $1,133.90	Professional		$737.50	$737.50	$1,133.90
United Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $307.89 / $480.99	Professional		$255.50	$307.89	$480.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,337.19 / $3,892.15 / $3,892.15	Facility		$1,337.19	$3,892.15	$3,892.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,328.51 / $4,328.51 / $4,609.13	Professional		$4,328.51	$4,328.51	$4,609.13