Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $616.60	Professional		$575.44	$602.56	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $251.19	Facility		$125.89	$125.89	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $97.72	Professional		$89.13	$89.13	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.08 / $870.96	Facility		$549.54	$676.08	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,348.96	Facility		$724.44	$1,202.26	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $724.44 / $724.44	Professional		$125.89	$724.44	$724.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94