Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $588.84	Facility		$141.25	$186.21	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $213.80	Professional		$114.82	$141.25	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $524.81	Facility		$389.05	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $281.84	Professional		$79.43	$147.91	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $275.42 / $457.09	Facility		$120.23	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $269.15	Professional		$81.28	$123.03	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $257.04	Facility		$125.89	$158.49	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $213.80	Facility		$104.71	$208.93	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $194.98	Professional		$74.13	$104.71	$194.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,318.26	Professional		$870.96	$870.96	$1,318.26