Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $294.58 / $597.88	Facility		$294.58	$294.58	$597.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.06 / $294.58 / $294.58	Professional		$177.06	$294.58	$294.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.35 / $380.82 / $723.06	Facility		$317.35	$380.82	$723.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.56 / $296.85 / $316.64	Professional		$275.56	$296.85	$316.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $489.00	Professional		$202.54	$277.45	$489.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $294.58 / $395.80	Facility		$277.33	$294.58	$395.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $297.14 / $297.14	Professional		$297.14	$297.14	$297.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $465.80 / $465.80 / $716.20	Professional		$465.80	$465.80	$716.20
United Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $197.46 / $316.77	Professional		$163.60	$197.46	$316.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $757.31 / $2,177.31 / $2,177.31	Facility		$757.31	$2,177.31	$2,177.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,200.21 / $2,911.43 / $2,911.43	Professional		$2,200.21	$2,911.43	$2,911.43