Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $549.54 / $588.84	Facility		$138.04	$549.54	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $173.78	Professional		$114.82	$138.04	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $549.54	Facility		$338.84	$524.81	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $281.84	Professional		$79.43	$114.82	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $275.42 / $457.09	Facility		$131.83	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $251.19	Facility		$125.89	$158.49	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $295.12	Professional		$269.15	$269.15	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $213.80	Facility		$104.71	$204.17	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $190.55	Professional		$74.13	$104.71	$190.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,318.26	Professional		$870.96	$870.96	$1,318.26