Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.70 / $311.70 / $632.61	Facility		$311.70	$311.70	$632.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $311.70 / $311.70	Professional		$187.35	$311.70	$311.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.78 / $402.94 / $765.02	Facility		$335.78	$402.94	$765.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.56 / $314.08 / $345.50	Professional		$291.56	$314.08	$345.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $586.50	Professional		$238.86	$327.20	$586.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $311.70 / $472.10	Facility		$134.88	$311.70	$472.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $306.45 / $306.45	Professional		$306.45	$306.45	$306.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $502.50 / $502.50 / $772.70	Professional		$502.50	$502.50	$772.70
United Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $276.08 / $321.95	Facility		$160.97	$276.08	$321.95
United Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $208.93 / $327.78	Professional		$174.11	$208.93	$327.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $849.73 / $2,460.44 / $2,460.44	Facility		$849.73	$2,460.44	$2,460.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,766.09 / $3,140.93 / $3,140.93	Professional		$2,766.09	$3,140.93	$3,140.93