Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.63 / $148.10 / $298.39	Facility		$116.63	$148.10	$298.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $148.10 / $196.23	Professional		$123.10	$148.10	$196.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.60 / $416.52 / $505.72	Facility		$313.60	$416.52	$505.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $157.35 / $333.22	Professional		$83.30	$157.35	$333.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $257.72 / $485.74	Facility		$140.66	$257.72	$485.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $137.44 / $269.95	Professional		$85.76	$137.44	$269.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $185.12 / $277.68	Facility		$148.10	$185.12	$277.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $120.33 / $185.12	Professional		$120.33	$120.33	$185.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $185.12 / $354.50	Professional		$120.33	$185.12	$354.50
United Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $111.07 / $190.67	Professional		$92.56	$111.07	$190.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.11 / $879.32 / $879.32	Facility		$322.11	$879.32	$879.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $925.60 / $925.60 / $1,388.40	Professional		$925.60	$925.60	$1,388.40