Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.93 / $434.93 / $882.69	Facility		$434.93	$434.93	$882.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.72 / $434.93 / $434.93	Professional		$267.72	$434.93	$434.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.36 / $866.81 / $1,067.50	Facility		$532.36	$866.81	$1,067.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.08 / $438.26 / $438.26	Professional		$333.08	$438.26	$438.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.47 / $483.85 / $483.85	Facility		$361.47	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $483.85 / $796.13	Professional		$353.21	$483.85	$796.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.20 / $434.93 / $658.07	Facility		$188.20	$434.93	$658.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $410.00	Professional		$329.00	$329.00	$410.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.50 / $724.50 / $1,114.00	Professional		$724.50	$724.50	$1,114.00
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $291.52 / $449.24	Professional		$223.98	$291.52	$449.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,439.32 / $3,700.92 / $3,700.92	Facility		$1,439.32	$3,700.92	$3,700.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,659.30 / $4,659.30 / $4,659.30	Professional		$4,659.30	$4,659.30	$4,659.30