Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.72 / $323.72 / $656.97	Facility		$323.72	$323.72	$656.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $323.72 / $323.72	Professional		$194.57	$323.72	$323.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.24 / $645.16 / $794.54	Facility		$396.24	$645.16	$794.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $326.20 / $326.20	Professional		$247.92	$326.20	$326.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.04 / $271.77 / $271.77	Facility		$269.04	$271.77	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $271.77 / $504.38	Professional		$198.39	$271.77	$504.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.08 / $323.72 / $511.59	Facility		$140.08	$323.72	$511.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $306.00	Professional		$245.00	$245.00	$306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.90 / $521.90 / $802.50	Professional		$521.90	$521.90	$802.50
United Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $216.98 / $340.41	Professional		$180.82	$216.98	$340.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $854.60 / $2,754.57 / $2,754.57	Facility		$854.60	$2,754.57	$2,754.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,803.83 / $2,803.83 / $3,262.05	Professional		$2,803.83	$2,803.83	$3,262.05