Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $169.82 / $602.56	Facility		$38.90	$169.82	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $234.42	Professional		$128.82	$154.88	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $588.84	Facility		$436.52	$588.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $446.68	Professional		$165.96	$194.98	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $309.03 / $512.86	Facility		$131.83	$309.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $295.12	Professional		$89.13	$134.90	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $288.40	Facility		$151.36	$173.78	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $234.42	Facility		$114.82	$229.09	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $223.87	Professional		$81.28	$114.82	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,445.44	Professional		$977.24	$977.24	$1,445.44