Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $588.84	Professional		$302.00	$436.52	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $1,412.54	Facility		$575.44	$691.83	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $537.03 / $588.84	Professional		$524.81	$537.03	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $954.99	Professional		$389.05	$389.05	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $467.74 / $478.63	Professional		$436.52	$467.74	$478.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $1,023.29	Facility		$295.12	$588.84	$1,023.29
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 $295.12 / $524.81 / $562.34	Facility		$295.12	$524.81	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $537.03	Professional		$295.12	$346.74	$537.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $5,248.07	Professional		$4,570.88	$5,248.07	$5,248.07