Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.68 / $159.27 / $298.55	Facility		$116.68	$159.27	$298.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $148.16 / $196.31	Professional		$123.16	$148.16	$196.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.74 / $386.38 / $420.09	Facility		$313.74	$386.38	$420.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $157.41 / $333.36	Professional		$83.34	$157.41	$333.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $257.72 / $486.63	Facility		$140.72	$257.72	$486.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $137.44 / $273.56	Professional		$85.74	$137.44	$273.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $185.20 / $277.80	Facility		$148.16	$185.20	$277.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $120.38 / $185.20	Professional		$120.38	$120.38	$185.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $185.20 / $354.66	Professional		$120.38	$185.20	$354.66
United Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $111.12 / $190.76	Professional		$92.60	$111.12	$190.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $926.00 / $1,389.00	Professional		$926.00	$926.00	$1,389.00