Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.79 / $277.79 / $277.79	Facility		$277.79	$277.79	$277.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.79 / $277.79 / $1,105.53	Professional		$277.79	$277.79	$1,105.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $208.47 / $222.37	Professional		$193.52	$208.47	$222.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $1,052.89 / $1,052.89	Facility		$993.29	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $1,052.89 / $1,052.89	Professional		$998.00	$1,052.89	$1,052.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.39 / $277.79 / $1,097.80	Facility		$222.39	$277.79	$1,097.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $222.39 / $222.39	Professional		$222.39	$222.39	$222.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.59 / $1,225.59 / $1,225.59	Professional		$1,225.59	$1,225.59	$1,225.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,210.82	Professional		$1,052.89	$1,052.89	$1,210.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,102.55 / $1,400.54 / $1,688.59	Facility		$1,102.55	$1,400.54	$1,688.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,642.15 / $2,642.15 / $3,476.52	Professional		$2,642.15	$2,642.15	$3,476.52