Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.73 / $392.73 / $797.05	Facility		$392.73	$392.73	$797.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.05 / $392.73 / $392.73	Professional		$236.05	$392.73	$392.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.69 / $782.70 / $963.92	Facility		$480.69	$782.70	$963.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.76 / $395.74 / $395.74	Professional		$300.76	$395.74	$395.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.39 / $402.09 / $402.09	Facility		$326.39	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $720.75	Professional		$293.52	$402.09	$720.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $392.73 / $599.65	Facility		$169.94	$392.73	$599.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $297.00 / $371.00	Professional		$297.00	$297.00	$371.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $633.20 / $633.20 / $973.50	Professional		$633.20	$633.20	$973.50
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $264.36 / $412.98	Professional		$219.37	$264.36	$412.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,055.31 / $3,116.67 / $3,116.67	Facility		$1,055.31	$3,116.67	$3,116.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,149.47 / $3,149.47 / $3,957.38	Professional		$3,149.47	$3,149.47	$3,957.38