Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $891.25	Professional		$316.23	$316.23	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $190.55	Facility		$125.89	$125.89	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $257.04	Professional		$89.13	$89.13	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Professional		$316.23	$316.23	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $707.95 / $1,584.89	Facility		$213.80	$707.95	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $426.58	Professional		$0.60	$229.09	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $501.19	Facility		$275.42	$446.68	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,445.44	Professional		$125.89	$275.42	$1,445.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26