Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $242.40 / $491.95	Facility		$242.40	$242.40	$491.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $242.40 / $242.40	Professional		$161.19	$242.40	$242.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.69 / $483.11 / $594.96	Facility		$296.69	$483.11	$594.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.64 / $244.27 / $244.27	Professional		$185.64	$244.27	$244.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $203.51 / $203.51	Facility		$201.46	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $377.63	Professional		$148.56	$203.51	$377.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $242.40 / $383.08	Facility		$104.90	$242.40	$383.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $229.00	Professional		$183.00	$183.00	$229.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $404.40 / $404.40 / $621.70	Professional		$404.40	$404.40	$621.70
United Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $162.47 / $254.90	Professional		$135.40	$162.47	$254.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $633.04 / $2,062.69 / $2,062.69	Facility		$633.04	$2,062.69	$2,062.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,162.57 / $2,162.57 / $2,527.19	Professional		$2,162.57	$2,162.57	$2,527.19