Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $346.74	Professional		$181.97	$281.84	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $416.87 / $831.76	Facility		$346.74	$416.87	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $323.59 / $354.81	Professional		$316.23	$323.59	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $363.08 / $363.08	Facility		$89.13	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $281.84	Professional		$194.98	$208.93	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $346.74 / $630.96	Facility		$181.97	$346.74	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $331.13	Facility		$173.78	$316.23	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $323.59	Professional		$173.78	$208.93	$323.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,981.07	Professional		$3,162.28	$3,162.28	$3,981.07