Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $691.83	Facility		$165.96	$223.87	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $251.19	Professional		$138.04	$165.96	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $457.09 / $467.74	Facility		$354.81	$457.09	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $478.63	Professional		$177.83	$208.93	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $549.54	Facility		$141.25	$331.13	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $316.23	Professional		$95.50	$144.54	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $302.00	Facility		$147.91	$186.21	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $218.78	Professional		$208.93	$208.93	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $251.19	Facility		$123.03	$245.47	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $229.09	Professional		$87.10	$123.03	$229.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,548.82	Professional		$1,023.29	$1,023.29	$1,548.82