Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $347.38 / $614.04	Facility		$165.97	$347.38	$614.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $165.97 / $244.34	Professional		$137.96	$165.97	$244.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.44 / $604.01 / $775.00	Facility		$351.44	$604.01	$775.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $254.20 / $363.56	Professional		$93.36	$254.20	$363.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $288.55 / $544.45	Facility		$157.63	$288.55	$544.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $191.77 / $302.49	Professional		$96.18	$191.77	$302.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $283.02 / $344.38	Facility		$165.97	$283.02	$344.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $283.02	Professional		$145.00	$145.00	$283.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $207.46 / $397.29	Professional		$134.85	$207.46	$397.29
United Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $141.52 / $283.02	Professional		$103.73	$141.52	$283.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $360.98 / $985.44 / $985.44	Facility		$360.98	$985.44	$985.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,037.30 / $1,037.30 / $1,555.95	Professional		$1,037.30	$1,037.30	$1,555.95