Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.08 / $307.08 / $623.20	Facility		$307.08	$307.08	$623.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $307.08 / $307.08	Professional		$181.00	$307.08	$307.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.78 / $396.94 / $753.70	Facility		$330.78	$396.94	$753.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $309.44 / $309.44	Professional		$235.17	$309.44	$309.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $255.22	Facility		$239.78	$239.78	$255.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $429.75	Professional		$175.04	$239.78	$429.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $307.08 / $460.05	Facility		$119.39	$307.08	$460.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $290.00	Professional		$232.00	$232.00	$290.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $442.90 / $442.90 / $683.90	Professional		$442.90	$442.90	$683.90
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $205.83 / $292.80	Professional		$158.13	$205.83	$292.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $721.58 / $2,347.59 / $2,347.59	Facility		$721.58	$2,347.59	$2,347.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,447.21 / $2,447.21 / $2,780.10	Professional		$2,447.21	$2,447.21	$2,780.10