Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.85 / $401.85 / $815.60	Facility		$401.85	$401.85	$815.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.53 / $401.85 / $401.85	Professional		$241.53	$401.85	$401.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.87 / $800.89 / $986.32	Facility		$491.87	$800.89	$986.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.75 / $404.93 / $404.93	Professional		$307.75	$404.93	$404.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $340.42 / $340.42	Facility		$334.00	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $340.42 / $610.13	Professional		$248.51	$340.42	$610.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $401.85 / $608.04	Facility		$161.69	$401.85	$608.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $379.00	Professional		$304.00	$304.00	$379.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $624.90 / $624.90 / $960.80	Professional		$624.90	$624.90	$960.80
United Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $269.36 / $422.59	Professional		$208.71	$269.36	$422.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $884.07 / $2,846.68 / $2,846.68	Facility		$884.07	$2,846.68	$2,846.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,033.72 / $3,033.72 / $3,905.78	Professional		$3,033.72	$3,033.72	$3,905.78