Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.70 / $351.70 / $713.77	Facility		$351.70	$351.70	$713.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $351.70 / $351.70	Professional		$211.39	$351.70	$351.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.83 / $454.60 / $863.21	Facility		$378.83	$454.60	$863.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $354.39 / $354.39	Professional		$269.33	$354.39	$354.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $544.88	Professional		$214.82	$294.27	$544.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $351.70 / $532.13	Facility		$135.22	$351.70	$532.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $264.00 / $332.00	Professional		$264.00	$264.00	$332.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $550.50 / $550.50 / $846.40	Professional		$550.50	$550.50	$846.40
United Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $276.79 / $322.77	Facility		$161.38	$276.79	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $235.73 / $332.85	Professional		$181.12	$235.73	$332.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $2,188.60 / $2,188.60	Facility		$789.63	$2,188.60	$2,188.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,366.19 / $2,366.19 / $3,440.48	Professional		$2,366.19	$2,366.19	$3,440.48