Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $358.75 / $728.08	Facility		$358.75	$358.75	$728.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.40 / $358.75 / $358.75	Professional		$245.40	$358.75	$358.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $463.73 / $880.52	Facility		$386.44	$463.73	$880.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.74 / $361.50 / $361.50	Professional		$274.74	$361.50	$361.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $365.10 / $365.10	Facility		$298.14	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $654.38	Professional		$266.52	$365.10	$654.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $358.75 / $542.80	Facility		$155.24	$358.75	$542.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $271.00 / $271.00 / $339.00	Professional		$271.00	$271.00	$339.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $771.20 / $771.20 / $1,185.80	Professional		$771.20	$771.20	$1,185.80
United Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $240.46 / $370.55	Professional		$188.28	$240.46	$370.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $964.01 / $3,052.68 / $3,052.68	Facility		$964.01	$3,052.68	$3,052.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,084.82 / $3,084.82 / $4,820.03	Professional		$3,084.82	$3,084.82	$4,820.03