Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.84 / $478.84 / $971.78	Facility		$478.84	$478.84	$971.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.85 / $478.84 / $478.84	Professional		$314.85	$478.84	$478.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.07 / $954.32 / $1,175.27	Facility		$586.07	$954.32	$1,175.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.71 / $482.51 / $482.51	Professional		$366.71	$482.51	$482.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $397.95	Facility		$394.91	$394.91	$397.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.91 / $875.25	Professional		$288.27	$394.91	$875.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $478.84 / $724.49	Facility		$203.55	$478.84	$724.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $362.00 / $452.00	Professional		$362.00	$362.00	$452.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $819.20 / $819.20 / $1,259.59	Professional		$819.20	$819.20	$1,259.59
United Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $320.95 / $485.86	Professional		$262.75	$320.95	$485.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,268.42 / $3,476.53 / $3,476.53	Facility		$1,268.42	$3,476.53	$3,476.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,622.91 / $3,622.91 / $5,120.10	Professional		$3,622.91	$3,622.91	$5,120.10