Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $446.68 / $616.60	Facility		$125.89	$446.68	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $208.93	Professional		$102.33	$125.89	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $218.78	Facility		$162.18	$194.98	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $436.52	Professional		$131.83	$251.19	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $501.19	Facility		$109.65	$190.55	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $363.08	Professional		$93.33	$213.80	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $128.82 / $251.19	Facility		$91.20	$128.82	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $371.54	Professional		$85.11	$194.98	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $83.18 / $83.18	Facility		$81.28	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $338.84	Professional		$107.15	$177.83	$338.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,047.13	Professional		$851.14	$851.14	$1,047.13