Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.98 / $309.98 / $629.07	Facility		$309.98	$309.98	$629.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $309.98 / $309.98	Professional		$186.31	$309.98	$309.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.90 / $400.68 / $760.81	Facility		$333.90	$400.68	$760.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.95 / $312.36 / $312.36	Professional		$289.95	$312.36	$312.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $480.00	Professional		$195.60	$267.94	$480.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $309.98 / $500.26	Facility		$119.17	$309.98	$500.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $304.74 / $304.74	Professional		$304.74	$304.74	$304.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.20 / $485.20 / $745.90	Professional		$485.20	$485.20	$745.90
United Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $207.77 / $312.66	Professional		$159.63	$207.77	$312.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $695.81 / $1,928.91 / $1,928.91	Facility		$695.81	$1,928.91	$1,928.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,085.52 / $3,032.25 / $3,032.25	Professional		$2,085.52	$3,032.25	$3,032.25