Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $323.59	Professional		$186.21	$257.04	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $870.96	Facility		$363.08	$436.52	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $363.08	Professional		$323.59	$331.13	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $489.78	Professional		$199.53	$199.53	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $288.40	Professional		$186.21	$199.53	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $346.74 / $630.96	Facility		$190.55	$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 $162.18 / $295.12 / $346.74	Facility		$162.18	$295.12	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $309.03	Professional		$169.82	$218.78	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $3,890.45	Professional		$2,511.89	$3,890.45	$3,890.45