Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $268.14 / $544.16	Facility		$268.14	$268.14	$544.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $268.14 / $268.14	Professional		$175.19	$268.14	$268.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.19 / $534.39 / $658.12	Facility		$328.19	$534.39	$658.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $270.20 / $288.22	Professional		$250.82	$270.20	$288.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $435.38	Professional		$257.41	$302.83	$435.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $268.14 / $405.69	Facility		$109.76	$268.14	$405.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $253.00	Professional		$202.00	$202.00	$253.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $442.00 / $679.60	Professional		$442.00	$442.00	$679.60
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $224.66 / $256.16	Facility		$130.99	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $179.73 / $275.91	Professional		$141.68	$179.73	$275.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $636.12 / $1,974.81 / $1,974.81	Facility		$636.12	$1,974.81	$1,974.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.60 / $1,995.60 / $2,762.25	Professional		$1,995.60	$1,995.60	$2,762.25