Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.41 / $322.72 / $604.90	Facility		$236.41	$322.72	$604.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $300.20 / $397.77	Professional		$249.54	$300.20	$397.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.69 / $782.87 / $908.96	Facility		$635.69	$782.87	$908.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $318.95 / $675.45	Professional		$168.86	$318.95	$675.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.13 / $522.17 / $984.82	Facility		$285.13	$522.17	$984.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.39 / $278.50 / $553.82	Professional		$173.39	$278.50	$553.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $375.25 / $562.88	Facility		$300.20	$375.25	$562.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $243.91 / $375.25	Professional		$243.91	$243.91	$375.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $375.25 / $718.60	Professional		$243.91	$375.25	$718.60
United Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $225.15 / $375.25	Professional		$187.63	$225.15	$375.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $652.94 / $1,782.44 / $1,782.44	Facility		$652.94	$1,782.44	$1,782.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,876.25 / $1,876.25 / $2,814.38	Professional		$1,876.25	$1,876.25	$2,814.38