Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $616.60	Facility		$223.87	$223.87	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $281.84	Professional		$186.21	$223.87	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $891.25	Facility		$478.63	$630.96	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $645.65	Professional		$239.88	$281.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $446.68 / $741.31	Facility		$213.80	$446.68	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $389.05	Facility		$204.17	$257.04	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $478.63	Professional		$436.52	$436.52	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $346.74	Facility		$169.82	$331.13	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $309.03	Professional		$117.49	$169.82	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,137.96	Professional		$1,412.54	$1,412.54	$2,137.96