Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.16 / $335.16 / $335.16	Facility		$335.16	$335.16	$335.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $335.16 / $335.16	Professional		$111.15	$335.16	$335.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $252.73 / $278.00	Professional		$234.60	$252.73	$278.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $111.15 / $111.15	Facility		$104.86	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $317.25	Professional		$111.15	$111.15	$317.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.05 / $335.16 / $521.40	Facility		$222.05	$335.16	$521.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $331.80 / $435.50	Professional		$331.80	$331.80	$435.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $183.30 / $183.30	Professional		$183.30	$183.30	$183.30
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $144.50	Professional		$111.15	$111.15	$144.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $571.92 / $1,606.18	Facility		$474.00	$571.92	$1,606.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,606.18 / $1,606.18 / $1,606.18	Professional		$1,606.18	$1,606.18	$1,606.18