Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.27 / $372.27 / $755.52	Facility		$372.27	$372.27	$755.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $372.27 / $372.27	Professional		$214.27	$372.27	$372.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.65 / $741.92 / $913.69	Facility		$455.65	$741.92	$913.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $375.12 / $375.12	Professional		$285.08	$375.12	$375.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $309.39	Facility		$280.67	$280.67	$309.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $552.75	Professional		$204.89	$280.67	$552.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $372.27 / $563.25	Facility		$130.85	$372.27	$563.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $351.00	Professional		$281.00	$281.00	$351.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $558.29 / $858.50	Professional		$558.29	$558.29	$858.50
United Facility/Professional Professional Modifier Low / Median / High Price $191.71 / $249.53 / $361.82	Professional		$191.71	$249.53	$361.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $800.94 / $2,572.98 / $2,572.98	Facility		$800.94	$2,572.98	$2,572.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,600.06 / $2,600.06 / $3,489.68	Professional		$2,600.06	$2,600.06	$3,489.68