Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $117.82 / $220.85	Facility		$86.31	$117.82	$220.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $109.60 / $145.22	Professional		$91.11	$109.60	$145.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.09 / $294.23 / $374.31	Facility		$232.09	$294.23	$374.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $116.45 / $246.60	Professional		$61.65	$116.45	$246.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $190.76 / $359.41	Facility		$104.10	$190.76	$359.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $101.74 / $202.47	Professional		$63.39	$101.74	$202.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $137.00 / $205.50	Facility		$109.60	$137.00	$205.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $89.05 / $137.00	Professional		$89.05	$89.05	$137.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $137.00 / $262.36	Professional		$89.05	$137.00	$262.36
United Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $164.40 / $164.40	Facility		$164.40	$164.40	$164.40
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $82.20 / $137.00	Professional		$68.50	$82.20	$137.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $238.38 / $650.75 / $650.75	Facility		$238.38	$650.75	$650.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $1,027.50	Professional		$685.00	$685.00	$1,027.50