Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $296.08 / $600.91	Facility		$296.08	$296.08	$600.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $296.08 / $296.08	Professional		$180.81	$296.08	$296.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.94 / $382.73 / $726.72	Facility		$318.94	$382.73	$726.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.75 / $298.36 / $298.36	Professional		$226.75	$298.36	$298.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $246.07	Facility		$228.28	$228.28	$246.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $423.38	Professional		$166.64	$228.28	$423.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $296.08 / $447.99	Facility		$117.66	$296.08	$447.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $224.00 / $280.00	Professional		$224.00	$224.00	$280.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $561.40 / $561.40 / $863.20	Professional		$561.40	$561.40	$863.20
United Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $198.47 / $311.36	Professional		$152.47	$198.47	$311.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $701.75 / $1,903.31 / $1,903.31	Facility		$701.75	$1,903.31	$1,903.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,245.58 / $2,245.58 / $3,508.73	Professional		$2,245.58	$2,245.58	$3,508.73