Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.53 / $420.53 / $420.53	Facility		$420.53	$420.53	$420.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $420.53 / $420.53	Professional		$204.96	$420.53	$420.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.91 / $517.91 / $517.91	Facility		$517.91	$517.91	$517.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $182.87 / $195.06	Professional		$169.75	$182.87	$195.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $204.96 / $204.96	Facility		$193.35	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $460.50	Professional		$204.96	$204.96	$460.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $322.35 / $693.12 / $1,393.34	Facility		$322.35	$693.12	$1,393.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $693.12 / $693.12	Professional		$334.40	$693.12	$693.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.50 / $202.40 / $1,205.09	Professional		$200.50	$202.40	$1,205.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $266.45	Professional		$204.96	$204.96	$266.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,076.67 / $1,076.67 / $1,266.67	Facility		$1,076.67	$1,076.67	$1,266.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,778.96 / $1,778.96 / $1,778.96	Professional		$1,778.96	$1,778.96	$1,778.96