Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.38 / $266.38 / $540.61	Facility		$266.38	$266.38	$540.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $266.38 / $266.38	Professional		$199.02	$266.38	$266.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.94 / $344.33 / $653.80	Facility		$286.94	$344.33	$653.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.17 / $268.42 / $268.43	Professional		$249.17	$268.42	$268.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.39 / $297.81 / $297.81	Facility		$221.39	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $499.50	Professional		$217.40	$297.81	$499.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $266.38 / $403.04	Facility		$115.27	$266.38	$403.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $201.00 / $252.00	Professional		$201.00	$201.00	$252.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $429.50 / $660.30	Professional		$429.50	$429.50	$660.30
United Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $178.55 / $280.12	Professional		$139.80	$178.55	$280.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $724.05 / $1,908.80 / $1,908.80	Facility		$724.05	$1,908.80	$1,908.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,376.46 / $2,376.46 / $2,684.25	Professional		$2,376.46	$2,376.46	$2,684.25