Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.28 / $156.47 / $732.85	Facility		$146.28	$156.47	$732.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $150.38 / $229.43	Professional		$125.91	$150.38	$229.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Professional		$148.41	$148.41	$148.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.17 / $220.23 / $892.10	Facility		$165.17	$220.23	$892.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $219.14 / $405.54	Professional		$126.09	$219.14	$405.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $182.71 / $383.98	Facility		$142.00	$182.71	$383.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $115.00 / $196.35	Professional		$79.00	$115.00	$196.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $172.00 / $289.10	Professional		$83.91	$172.00	$289.10
United Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $197.15 / $384.41	Professional		$131.74	$197.15	$384.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $350.59 / $868.30 / $868.30	Facility		$350.59	$868.30	$868.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,102.83 / $1,102.83 / $1,366.88	Professional		$1,102.83	$1,102.83	$1,366.88