Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $161.19 / $249.12	Facility		$111.82	$161.19	$249.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $141.69 / $279.45	Professional		$105.76	$141.69	$279.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $86.83 / $88.10	Facility		$86.83	$86.83	$88.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $217.37 / $379.94	Professional		$140.19	$217.37	$379.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $117.69 / $606.10	Facility		$117.69	$117.69	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $191.22 / $342.16	Professional		$137.13	$191.22	$342.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $180.31 / $263.89	Facility		$111.82	$180.31	$263.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $189.00	Professional		$180.00	$180.00	$189.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $190.80 / $259.10	Professional		$160.50	$190.80	$259.10
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $832.00 / $1,928.00	Facility		$206.00	$832.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $168.40 / $349.09	Professional		$122.56	$168.40	$349.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $551.57 / $551.57	Facility		$55.00	$551.57	$551.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $819.92 / $1,070.40 / $1,221.45	Professional		$819.92	$1,070.40	$1,221.45