Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $193.52 / $531.16	Facility		$169.33	$193.52	$531.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $193.52 / $276.79	Professional		$160.86	$193.52	$276.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.79 / $702.60 / $900.39	Facility		$409.79	$702.60	$900.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $109.73 / $398.48	Professional		$108.86	$109.73	$398.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.81 / $336.72 / $635.19	Facility		$183.81	$336.72	$635.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $179.58 / $460.39	Professional		$112.24	$179.58	$460.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $329.51 / $401.55	Facility		$193.52	$329.51	$401.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $194.71 / $329.51	Professional		$194.71	$194.71	$329.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.24 / $241.90 / $463.24	Professional		$157.24	$241.90	$463.24
United Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $164.76 / $329.51	Professional		$120.95	$164.76	$329.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $1,149.03 / $1,149.03	Facility		$420.91	$1,149.03	$1,149.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,209.50 / $1,814.25	Professional		$1,209.50	$1,209.50	$1,814.25