Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $298.14 / $605.09	Facility		$298.14	$298.14	$605.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $298.14 / $298.14	Professional		$173.54	$298.14	$298.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.18 / $385.42 / $731.78	Facility		$321.18	$385.42	$731.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.33 / $300.44 / $300.44	Professional		$228.33	$300.44	$300.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $247.79	Facility		$244.07	$244.07	$247.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $471.38	Professional		$178.17	$244.07	$471.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $298.14 / $451.11	Facility		$108.28	$298.14	$451.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $282.00	Professional		$225.00	$225.00	$282.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $535.70 / $535.70 / $827.10	Professional		$535.70	$535.70	$827.10
United Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $199.84 / $289.77	Professional		$153.54	$199.84	$289.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $682.84 / $1,746.86 / $1,746.86	Facility		$682.84	$1,746.86	$1,746.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,151.65 / $2,151.65 / $3,361.95	Professional		$2,151.65	$2,151.65	$3,361.95