Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.41 / $192.17 / $457.69	Facility		$63.41	$192.17	$457.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $115.87 / $170.59	Professional		$96.32	$115.87	$170.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.18 / $581.76 / $581.76	Facility		$302.18	$581.76	$581.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $185.75 / $557.00	Professional		$65.18	$185.75	$557.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $201.84 / $379.87	Facility		$110.06	$201.84	$379.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $133.85 / $210.98	Professional		$67.19	$133.85	$210.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.87 / $197.59 / $240.43	Facility		$115.87	$197.59	$240.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $129.82 / $197.59	Professional		$129.82	$129.82	$197.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $144.84 / $277.37	Professional		$94.15	$144.84	$277.37
United Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $98.80 / $197.59	Professional		$72.42	$98.80	$197.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $252.02 / $687.99 / $687.99	Facility		$252.02	$687.99	$687.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $724.20 / $724.20 / $1,086.30	Professional		$724.20	$724.20	$1,086.30