Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $275.42	Professional		$158.49	$213.80	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $371.54 / $741.31	Facility		$309.03	$371.54	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $426.58	Professional		$173.78	$173.78	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $245.47	Professional		$173.78	$186.21	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $549.54	Facility		$154.88	$309.03	$549.54
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 $138.04 / $251.19 / $295.12	Facility		$138.04	$251.19	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $263.03	Professional		$144.54	$186.21	$263.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $2,691.53	Professional		$1,862.09	$2,691.53	$2,691.53