Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $549.54	Professional		$263.03	$398.11	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $1,230.27	Facility		$512.86	$602.56	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $512.86	Professional		$457.09	$467.74	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $457.09	Facility		$275.42	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $489.78	Professional		$331.13	$331.13	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $407.38	Professional		$309.03	$331.13	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $512.86 / $891.25	Facility		$257.04	$512.86	$891.25
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 $257.04 / $457.09 / $489.78	Facility		$257.04	$457.09	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $467.74	Professional		$257.04	$309.03	$467.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,570.88	Professional		$4,365.16	$4,365.16	$4,570.88