Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.58 / $745.36 / $998.26	Facility		$228.58	$745.36	$998.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.18 / $228.58 / $254.81	Professional		$219.18	$228.58	$254.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.02 / $321.82 / $375.65	Facility		$305.02	$321.82	$375.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $400.44 / $728.60	Professional		$196.12	$400.44	$728.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.87 / $256.87 / $776.66	Facility		$256.87	$256.87	$776.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $455.50 / $694.68	Professional		$156.56	$455.50	$694.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.00 / $228.58 / $443.29	Facility		$127.00	$228.58	$443.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $291.74 / $291.74 / $291.74	Professional		$291.74	$291.74	$291.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.09 / $1,345.09 / $1,844.87	Facility		$1,345.09	$1,345.09	$1,844.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $354.96 / $578.41	Professional		$152.30	$354.96	$578.41
United Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $309.27 / $613.77	Professional		$150.99	$309.27	$613.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,623.04 / $1,623.04 / $2,042.80	Facility		$1,623.04	$1,623.04	$2,042.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,543.86 / $1,543.86 / $1,894.80	Professional		$1,543.86	$1,543.86	$1,894.80