Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.03 / $243.85 / $491.33	Facility		$192.03	$243.85	$491.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $243.85 / $323.10	Professional		$202.70	$243.85	$323.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.91 / $895.36 / $895.36	Facility		$635.91	$895.36	$895.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $259.08 / $548.66	Professional		$137.16	$259.08	$548.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.61 / $424.39 / $799.78	Facility		$231.61	$424.39	$799.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $226.34 / $444.32	Professional		$141.19	$226.34	$444.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.85 / $304.81 / $457.22	Facility		$243.85	$304.81	$457.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $304.81	Professional		$150.00	$150.00	$304.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $304.81 / $583.71	Professional		$198.13	$304.81	$583.71
United Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $359.68 / $365.77	Facility		$304.81	$359.68	$365.77
United Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $182.89 / $313.95	Professional		$152.41	$182.89	$313.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $530.37 / $1,447.85 / $1,447.85	Facility		$530.37	$1,447.85	$1,447.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,524.05 / $1,524.05 / $2,286.08	Professional		$1,524.05	$1,524.05	$2,286.08