Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $933.25	Facility		$223.87	$269.15	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $416.87	Professional		$177.83	$223.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $630.96	Facility		$426.58	$426.58	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $371.54	Professional		$63.10	$125.89	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $446.68 / $724.44	Facility		$181.97	$446.68	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $371.54	Professional		$128.82	$181.97	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $575.44	Facility		$131.83	$251.19	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $295.12	Professional		$281.84	$281.84	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $169.82 / $331.13	Facility		$83.18	$169.82	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $234.42	Professional		$67.61	$138.04	$234.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,089.30	Professional		$1,380.38	$1,380.38	$2,089.30