Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.77 / $915.68 / $915.68	Facility		$333.77	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Professional		$872.08	$915.68	$915.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.25 / $365.48 / $1,300.30	Facility		$332.25	$365.48	$1,300.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $49.76 / $60.00	Professional		$45.60	$49.76	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $311.36 / $584.17 / $1,098.82	Facility		$311.36	$584.17	$1,098.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $337.91 / $344.82 / $344.82	Professional		$337.91	$344.82	$344.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.30 / $690.60 / $1,073.70	Professional		$426.30	$690.60	$1,073.70
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,151.15	Professional		$872.08	$872.08	$1,151.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $572.35 / $880.31 / $1,037.39	Facility		$572.35	$880.31	$1,037.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,573.97 / $1,573.97 / $1,573.97	Professional		$1,573.97	$1,573.97	$1,573.97