Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.60 / $241.60 / $241.60	Facility		$241.60	$241.60	$241.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $241.60 / $484.42	Professional		$241.60	$241.60	$484.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $361.91 / $386.03	Professional		$335.94	$361.91	$386.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $461.36 / $461.36	Facility		$435.24	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $652.86	Professional		$461.36	$461.36	$652.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.60 / $250.01 / $1,834.80	Facility		$241.60	$250.01	$1,834.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.01 / $250.01 / $1,189.28	Professional		$250.01	$250.01	$1,189.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $464.50 / $464.50 / $464.50	Professional		$464.50	$464.50	$464.50
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $599.77	Professional		$461.36	$461.36	$599.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,417.80 / $2,300.41	Facility		$1,417.80	$1,417.80	$2,300.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,092.01 / $3,092.01 / $3,975.44	Professional		$3,092.01	$3,092.01	$3,975.44