Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.21 / $243.28 / $455.99	Facility		$178.21	$243.28	$455.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $226.30 / $299.85	Professional		$188.12	$226.30	$299.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.21 / $590.16 / $641.64	Facility		$479.21	$590.16	$641.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $240.45 / $509.18	Professional		$127.30	$240.45	$509.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.94 / $393.56 / $742.84	Facility		$214.94	$393.56	$742.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $209.90 / $417.81	Professional		$130.94	$209.90	$417.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $282.88 / $424.32	Facility		$226.30	$282.88	$424.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $183.87 / $282.88	Professional		$183.87	$183.87	$282.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $282.88 / $541.72	Professional		$183.87	$282.88	$541.72
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $169.73 / $282.88	Professional		$141.44	$169.73	$282.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $1,343.68 / $1,343.68	Facility		$492.21	$1,343.68	$1,343.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,414.40 / $2,121.60	Professional		$1,414.40	$1,414.40	$2,121.60