Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.70 / $332.70 / $675.22	Facility		$332.70	$332.70	$675.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.97 / $332.70 / $332.70	Professional		$199.97	$332.70	$332.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.37 / $430.04 / $816.57	Facility		$358.37	$430.04	$816.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $335.25 / $335.25	Professional		$311.20	$335.25	$335.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $644.05	Professional		$209.36	$209.36	$644.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $332.70 / $536.94	Facility		$127.91	$332.70	$536.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $327.10 / $327.10	Professional		$327.10	$327.10	$327.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $520.70 / $520.70 / $800.60	Professional		$520.70	$520.70	$800.60
United Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $223.01 / $349.85	Professional		$171.34	$223.01	$349.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $746.91 / $2,070.19 / $2,070.19	Facility		$746.91	$2,070.19	$2,070.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,238.21 / $3,254.25 / $3,254.25	Professional		$2,238.21	$3,254.25	$3,254.25