Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.69 / $184.57 / $353.71	Facility		$171.69	$184.57	$353.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $171.70 / $227.50	Professional		$142.72	$171.70	$227.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.57 / $482.90 / $600.85	Facility		$363.57	$482.90	$600.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $197.08 / $343.39	Professional		$96.58	$197.08	$343.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $298.67 / $563.13	Facility		$146.47	$298.67	$563.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $193.13 / $312.64	Professional		$99.56	$193.13	$312.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.70 / $219.43 / $321.93	Facility		$171.70	$219.43	$321.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $139.50 / $219.43	Professional		$139.50	$139.50	$219.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $214.62 / $411.00	Professional		$139.50	$214.62	$411.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $128.77 / $221.06	Professional		$107.31	$128.77	$221.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $373.44 / $1,019.45 / $1,019.45	Facility		$373.44	$1,019.45	$1,019.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,073.09 / $1,073.09 / $1,609.65	Professional		$1,073.09	$1,073.09	$1,609.65