Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.02 / $268.02 / $543.95	Facility		$268.02	$268.02	$543.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $268.02 / $268.02	Professional		$161.09	$268.02	$268.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.72 / $346.46 / $657.83	Facility		$288.72	$346.46	$657.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $270.08 / $270.08	Professional		$250.70	$270.08	$270.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $415.13	Professional		$169.11	$231.66	$415.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $268.02 / $432.56	Facility		$103.04	$268.02	$432.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $263.50 / $263.50	Professional		$263.50	$263.50	$263.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $419.40 / $419.40 / $644.90	Professional		$419.40	$419.40	$644.90
United Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $180.41 / $260.50	Professional		$138.02	$180.41	$260.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $601.61 / $1,667.62 / $1,667.62	Facility		$601.61	$1,667.62	$1,667.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,803.01 / $2,621.48 / $2,621.48	Professional		$1,803.01	$2,621.48	$2,621.48