Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.83 / $418.83 / $849.99	Facility		$418.83	$418.83	$849.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.74 / $418.83 / $418.83	Professional		$251.74	$418.83	$418.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.63 / $834.72 / $1,027.98	Facility		$512.63	$834.72	$1,027.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.76 / $422.05 / $422.05	Professional		$320.76	$422.05	$422.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $648.75	Professional		$264.27	$362.03	$648.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $418.83 / $633.69	Facility		$161.02	$418.83	$633.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $395.00	Professional		$315.00	$315.00	$395.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $655.50 / $655.50 / $1,007.80	Professional		$655.50	$655.50	$1,007.80
United Facility/Professional Professional Modifier Low / Median / High Price $215.68 / $280.73 / $440.42	Professional		$215.68	$280.73	$440.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $940.25 / $2,615.79 / $2,615.79	Facility		$940.25	$2,615.79	$2,615.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,817.63 / $2,817.63 / $4,096.72	Professional		$2,817.63	$2,817.63	$4,096.72