Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.26 / $207.26 / $420.63	Facility		$207.26	$207.26	$420.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $207.26 / $207.26	Professional		$124.57	$207.26	$207.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.69 / $413.06 / $508.69	Facility		$253.69	$413.06	$508.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $208.84 / $208.85	Professional		$193.86	$208.84	$208.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $430.50	Professional		$129.68	$177.64	$430.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $207.26 / $327.54	Facility		$89.69	$207.26	$327.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $196.00	Professional		$157.00	$157.00	$196.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $421.10 / $421.10 / $647.50	Professional		$421.10	$421.10	$647.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $139.52 / $217.95	Professional		$115.77	$139.52	$217.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $623.75 / $1,763.58 / $1,763.58	Facility		$623.75	$1,763.58	$1,763.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,863.32 / $1,863.32 / $2,631.83	Professional		$1,863.32	$1,863.32	$2,631.83