Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $142.34 / $396.50	Facility		$104.27	$142.34	$396.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $132.41 / $175.44	Professional		$110.06	$132.41	$175.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.38 / $345.29 / $465.50	Facility		$280.38	$345.29	$465.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $152.85 / $264.82	Professional		$74.48	$152.85	$264.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $230.26 / $434.14	Facility		$112.96	$230.26	$434.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $148.85 / $240.97	Professional		$76.73	$148.85	$240.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $165.92 / $248.27	Facility		$132.41	$165.92	$248.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $107.58 / $165.92	Professional		$107.58	$107.58	$165.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $165.51 / $316.95	Professional		$107.58	$165.51	$316.95
United Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $99.31 / $170.48	Professional		$82.76	$99.31	$170.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $287.99 / $786.17 / $786.17	Facility		$287.99	$786.17	$786.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $827.55 / $827.55 / $1,241.33	Professional		$827.55	$827.55	$1,241.33