Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $208.03 / $433.25	Facility		$169.33	$208.03	$433.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $193.52 / $284.89	Professional		$160.86	$193.52	$284.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.67 / $877.24 / $877.24	Facility		$504.67	$877.24	$877.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $281.89 / $642.08	Professional		$217.71	$281.89	$642.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.81 / $336.72 / $635.19	Facility		$183.81	$336.72	$635.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $179.58 / $375.07	Professional		$112.24	$179.58	$375.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $447.96 / $447.96	Facility		$193.52	$447.96	$447.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.12 / $194.12 / $447.96	Professional		$194.12	$194.12	$447.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.24 / $241.90 / $463.24	Professional		$157.24	$241.90	$463.24
United Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $149.32 / $309.08	Professional		$120.95	$149.32	$309.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $1,149.03 / $1,149.03	Facility		$420.91	$1,149.03	$1,149.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,209.50 / $1,814.25	Professional		$1,209.50	$1,209.50	$1,814.25