Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $602.56	Professional		$316.23	$457.09	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,513.56	Facility		$707.95	$1,122.02	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $630.96	Professional		$562.34	$575.44	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $467.74	Facility		$331.13	$416.87	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $537.03	Professional		$309.03	$309.03	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $501.19	Professional		$309.03	$338.84	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $616.60 / $1,071.52	Facility		$316.23	$616.60	$1,071.52
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 $281.84 / $501.19 / $602.56	Facility		$281.84	$501.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $524.81	Professional		$295.12	$371.54	$524.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,011.87	Professional		$3,715.35	$3,715.35	$5,011.87