Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $588.84 / $616.60	Facility		$147.91	$588.84	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $186.21	Professional		$123.03	$147.91	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $588.84	Facility		$316.23	$416.87	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $426.58	Professional		$158.49	$186.21	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $295.12 / $489.78	Facility		$125.89	$295.12	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $257.04	Facility		$134.90	$165.96	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $316.23	Professional		$281.84	$281.84	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $218.78 / $223.87	Facility		$112.20	$218.78	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $204.17	Professional		$77.62	$112.20	$204.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,380.38	Professional		$912.01	$912.01	$1,380.38