Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Facility		$207.13	$207.13	$207.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $207.13 / $241.49	Professional		$165.58	$207.13	$241.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.62 / $412.00 / $507.39	Facility		$388.62	$412.00	$507.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $102.25	Professional		$70.00	$70.00	$102.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $153.19 / $276.18	Facility		$81.86	$153.19	$276.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $142.62 / $263.02	Professional		$99.20	$142.62	$263.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.80 / $207.13 / $337.96	Facility		$132.80	$207.13	$337.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $110.00 / $670.14	Professional		$53.00	$110.00	$670.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $150.50 / $293.60	Professional		$124.20	$150.50	$293.60
United Facility/Professional Facility Modifier Low / Median / High Price $223.61 / $223.61 / $223.61	Facility		$223.61	$223.61	$223.61
United Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $256.14 / $555.58	Professional		$102.12	$256.14	$555.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $539.87 / $539.87	Facility		$205.62	$539.87	$539.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,272.00 / $1,272.00	Professional		$1,272.00	$1,272.00	$1,272.00