Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $199.53 / $389.05	Facility		$97.72	$199.53	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $151.36	Professional		$81.28	$100.00	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $457.09	Facility		$275.42	$457.09	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $323.59	Professional		$109.65	$128.82	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $194.98 / $323.59	Facility		$83.18	$194.98	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $208.93	Professional		$56.23	$87.10	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $177.83	Facility		$97.72	$114.82	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $128.82	Professional		$123.03	$123.03	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $186.21	Facility		$91.20	$151.36	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $158.49	Professional		$51.29	$75.86	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $912.01	Professional		$616.60	$616.60	$912.01