Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.93 / $455.93 / $925.30	Facility		$455.93	$455.93	$925.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.04 / $455.93 / $455.93	Professional		$274.04	$455.93	$455.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.04 / $908.67 / $1,119.05	Facility		$558.04	$908.67	$1,119.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.17 / $459.44 / $459.44	Professional		$349.17	$459.44	$459.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $401.27 / $706.50	Professional		$292.93	$401.27	$706.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $455.93 / $689.84	Facility		$175.30	$455.93	$689.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $343.00 / $430.00	Professional		$343.00	$343.00	$430.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $713.60 / $713.60 / $1,097.20	Professional		$713.60	$713.60	$1,097.20
United Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $305.60 / $479.45	Professional		$234.80	$305.60	$479.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,023.57 / $2,837.20 / $2,837.20	Facility		$1,023.57	$2,837.20	$2,837.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,067.43 / $3,067.43 / $4,460.03	Professional		$3,067.43	$3,067.43	$4,460.03