Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $249.96 / $907.48	Facility		$140.32	$249.96	$907.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $140.32 / $185.92	Professional		$116.64	$140.32	$185.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.93 / $527.77 / $527.77	Facility		$365.93	$527.77	$527.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $168.51 / $280.64	Professional		$78.93	$168.51	$280.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $244.23 / $460.83	Facility		$119.71	$244.23	$460.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $157.96 / $255.71	Professional		$81.41	$157.96	$255.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $179.25 / $263.10	Facility		$140.32	$179.25	$263.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $122.86 / $179.25	Professional		$122.86	$122.86	$179.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $175.40 / $335.89	Professional		$114.01	$175.40	$335.89
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $105.24 / $179.25	Professional		$87.70	$105.24	$179.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $833.15 / $833.15	Facility		$305.20	$833.15	$833.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $877.00 / $1,315.50	Professional		$877.00	$877.00	$1,315.50