Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.95 / $427.95 / $868.52	Facility		$427.95	$427.95	$868.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $427.95 / $427.95	Professional		$293.95	$427.95	$427.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.79 / $852.90 / $1,050.36	Facility		$523.79	$852.90	$1,050.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $431.24 / $431.24	Professional		$327.74	$431.24	$431.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.66 / $444.49 / $444.49	Facility		$355.66	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $444.49 / $796.50	Professional		$324.48	$444.49	$796.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $427.95 / $647.49	Facility		$185.18	$427.95	$647.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $323.00 / $404.00	Professional		$323.00	$323.00	$404.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $690.00 / $1,060.80	Professional		$690.00	$690.00	$1,060.80
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.39 / $286.85 / $450.01	Professional		$220.39	$286.85	$450.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,154.35 / $3,066.52 / $3,066.52	Facility		$1,154.35	$3,066.52	$3,066.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,817.82 / $3,817.82 / $4,312.35	Professional		$3,817.82	$3,817.82	$4,312.35