Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $266.11 / $606.39	Facility		$97.30	$266.11	$606.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $97.30 / $167.03	Professional		$80.88	$97.30	$167.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.75 / $486.80 / $486.80	Facility		$253.75	$486.80	$486.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $121.63 / $200.36	Professional		$54.73	$121.63	$200.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $169.08 / $319.38	Facility		$92.42	$169.08	$319.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $90.18 / $231.70	Professional		$56.50	$90.18	$231.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $165.68 / $201.91	Facility		$97.30	$165.68	$201.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.68 / $165.68 / $650.00	Professional		$165.68	$165.68	$650.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,288.08 / $2,288.08 / $2,288.08	Facility		$2,288.08	$2,288.08	$2,288.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $121.63 / $232.92	Professional		$79.06	$121.63	$232.92
United Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $82.84 / $165.68	Professional		$60.82	$82.84	$165.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $211.64 / $918.65 / $918.65	Facility		$211.64	$918.65	$918.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $608.15 / $608.15 / $912.23	Professional		$608.15	$608.15	$912.23