Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $334.46 / $645.78	Facility		$156.56	$334.46	$645.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $100.88 / $395.25	Professional		$96.28	$100.88	$395.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $171.92 / $211.73	Facility		$160.72	$171.92	$211.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $93.10 / $93.10	Professional		$93.10	$93.10	$93.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $148.74 / $347.05	Facility		$99.42	$148.74	$347.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $188.24 / $345.11	Professional		$106.83	$188.24	$345.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.88 / $152.00 / $251.83	Facility		$100.88	$152.00	$251.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $139.44 / $412.49	Professional		$47.00	$139.44	$412.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $123.55 / $240.78	Professional		$35.27	$123.55	$240.78
United Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $91.25 / $91.25	Facility		$91.25	$91.25	$91.25
United Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $161.18 / $371.45	Professional		$113.78	$161.18	$371.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $669.70 / $669.70	Facility		$268.00	$669.70	$669.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $740.76 / $740.76 / $1,055.40	Professional		$740.76	$740.76	$1,055.40