Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $426.58 / $446.68	Facility		$107.15	$426.58	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $128.82	Professional		$89.13	$107.15	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $416.87	Facility		$263.03	$407.38	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $213.80	Professional		$60.26	$114.82	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $213.80 / $354.81	Facility		$102.33	$213.80	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $186.21	Facility		$97.72	$120.23	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $223.87	Professional		$204.17	$204.17	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $162.18	Facility		$81.28	$158.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $147.91	Professional		$56.23	$81.28	$147.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,000.00	Professional		$676.08	$676.08	$1,000.00