Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $150.84 / $282.75	Facility		$110.50	$150.84	$282.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $140.32 / $185.92	Professional		$116.64	$140.32	$185.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.93 / $515.28 / $515.28	Facility		$365.93	$515.28	$515.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $149.09 / $315.72	Professional		$78.93	$149.09	$315.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.28 / $244.23 / $460.83	Facility		$133.28	$244.23	$460.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $130.26 / $259.13	Professional		$81.17	$130.26	$259.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $175.40 / $263.10	Facility		$140.32	$175.40	$263.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $114.01 / $175.40	Professional		$114.01	$114.01	$175.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $175.40 / $335.89	Professional		$114.01	$175.40	$335.89
United Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Facility		$175.40	$175.40	$175.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $105.24 / $180.66	Professional		$87.70	$105.24	$180.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $833.15 / $833.15	Facility		$305.20	$833.15	$833.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $877.00 / $1,315.50	Professional		$877.00	$877.00	$1,315.50