Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $933.25	Facility		$223.87	$302.00	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $223.87 / $338.84	Professional		$89.13	$223.87	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $870.96	Facility		$478.63	$630.96	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $645.65	Professional		$239.88	$281.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $446.68 / $741.31	Facility		$181.97	$446.68	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $380.19	Professional		$128.82	$194.98	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $251.19 / $416.87	Facility		$107.15	$251.19	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $295.12	Professional		$281.84	$281.84	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $338.84	Facility		$169.82	$331.13	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $323.59	Professional		$117.49	$169.82	$323.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,089.30	Professional		$1,412.54	$1,412.54	$2,089.30