Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $325.83 / $6,953.60	Facility		$130.88	$325.83	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $209.80 / $358.72	Professional		$130.88	$209.80	$358.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $184.40 / $312.93	Facility		$167.64	$184.40	$312.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.57 / $289.85 / $547.40	Professional		$186.57	$289.85	$547.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.53 / $251.61 / $530.04	Facility		$172.53	$251.61	$530.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $251.44 / $468.00	Professional		$154.97	$251.44	$468.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $211.80 / $347.19	Facility		$130.88	$211.80	$347.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $250.88 / $542.41	Professional		$179.03	$250.88	$542.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.90 / $214.10 / $508.10	Professional		$179.90	$214.10	$508.10
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $241.18 / $570.96	Professional		$179.01	$241.18	$570.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $934.92 / $934.92	Facility		$55.00	$934.92	$934.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $987.44 / $1,560.08 / $1,823.40	Professional		$987.44	$1,560.08	$1,823.40