Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $483.45 / $867.00	Facility		$186.46	$483.45	$867.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.99 / $190.05 / $450.00	Professional		$154.99	$190.05	$450.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.84 / $486.25 / $711.41	Facility		$394.84	$486.25	$711.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $264.04 / $376.86	Professional		$104.88	$264.04	$376.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.10 / $324.20 / $612.05	Facility		$177.10	$324.20	$612.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $209.78 / $339.60	Professional		$108.07	$209.78	$339.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $293.38 / $386.90	Facility		$186.46	$293.38	$386.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.41 / $208.41 / $293.38	Professional		$208.41	$208.41	$293.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $233.07 / $446.33	Professional		$151.50	$233.07	$446.33
United Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $146.69 / $293.38	Professional		$116.54	$146.69	$293.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $405.54 / $1,107.08 / $1,107.08	Facility		$405.54	$1,107.08	$1,107.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,165.34 / $1,165.34 / $1,748.03	Professional		$1,165.34	$1,165.34	$1,748.03