Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $314.93 / $649.70	Facility		$125.53	$314.93	$649.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $125.53 / $125.53	Professional		$114.43	$125.53	$125.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $189.51 / $200.14	Facility		$162.26	$189.51	$200.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $256.81 / $418.16	Professional		$132.26	$256.81	$418.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.30 / $141.30 / $502.22	Facility		$141.30	$141.30	$502.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $247.95 / $374.69	Professional		$107.04	$247.95	$374.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $128.16 / $294.57	Facility		$96.60	$128.16	$294.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $188.60 / $188.60	Professional		$188.60	$188.60	$188.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $195.07 / $294.30	Professional		$107.04	$195.07	$294.30
United Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $175.67 / $341.88	Professional		$113.38	$175.67	$341.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $890.40 / $890.40 / $1,120.72	Facility		$890.40	$890.40	$1,120.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $847.87 / $847.87 / $1,039.34	Professional		$847.87	$847.87	$1,039.34