Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $1,258.93	Facility		$234.42	$363.08	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $302.00 / $446.68	Professional		$69.18	$302.00	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $851.14	Facility		$234.42	$281.84	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $501.19	Professional		$79.43	$95.50	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $977.24	Facility		$245.47	$588.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $501.19	Professional		$93.33	$177.83	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $331.13 / $549.54	Facility		$67.61	$331.13	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Professional		$371.54	$371.54	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $114.82 / $446.68	Facility		$56.23	$114.82	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $158.49 / $288.40	Professional		$46.77	$158.49	$288.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,818.38	Professional		$1,862.09	$1,862.09	$2,818.38