Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,122.02 / $1,174.90	Facility		$281.84	$1,122.02	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $346.74	Professional		$234.42	$281.84	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,122.02	Facility		$602.56	$794.33	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $812.83	Professional		$251.19	$323.59	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $562.34 / $933.25	Facility		$245.47	$562.34	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $501.19	Facility		$257.04	$323.59	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $602.56	Professional		$549.54	$549.54	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $416.87 / $436.52	Facility		$213.80	$416.87	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $389.05	Professional		$147.91	$213.80	$389.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,691.53	Professional		$1,778.28	$1,778.28	$2,691.53