Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $676.08	Professional		$354.81	$524.81	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,659.59	Facility		$776.25	$1,230.27	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $630.96 / $691.83	Professional		$616.60	$630.96	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $645.65	Facility		$363.08	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $691.83	Professional		$478.63	$478.63	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $537.03	Professional		$398.11	$426.58	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $1,202.26	Facility		$354.81	$676.08	$1,202.26
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 $338.84 / $602.56 / $660.69	Facility		$338.84	$602.56	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $616.60	Professional		$338.84	$407.38	$616.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $8,128.31	Professional		$5,370.32	$5,370.32	$8,128.31