Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $165.85 / $344.14	Facility		$165.85	$165.85	$344.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $165.85 / $219.75	Professional		$137.86	$165.85	$219.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.19 / $432.50 / $453.66	Facility		$351.19	$432.50	$453.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $207.31 / $445.72	Professional		$176.21	$207.31	$445.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.52 / $288.55 / $544.45	Facility		$157.52	$288.55	$544.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $153.88 / $306.02	Professional		$96.17	$153.88	$306.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $207.31 / $300.60	Facility		$165.85	$207.31	$300.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $134.75 / $207.31	Professional		$134.75	$134.75	$207.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $207.31 / $397.00	Professional		$134.75	$207.31	$397.00
United Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Facility		$207.31	$207.31	$207.31
United Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $124.39 / $228.04	Professional		$103.66	$124.39	$228.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $360.72 / $984.72 / $984.72	Facility		$360.72	$984.72	$984.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,032.40 / $1,032.40 / $1,554.83	Professional		$1,032.40	$1,032.40	$1,554.83