Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $562.34 / $676.08	Facility		$177.83	$562.34	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $251.19	Professional		$134.90	$162.18	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $501.19	Facility		$346.74	$457.09	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $323.59	Professional		$91.20	$173.78	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $323.59 / $537.03	Facility		$138.04	$323.59	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $309.03	Professional		$93.33	$141.25	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $295.12	Facility		$144.54	$181.97	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Professional		$204.17	$204.17	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $239.88 / $245.47	Facility		$120.23	$239.88	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $223.87	Professional		$85.11	$120.23	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Professional		$1,023.29	$1,023.29	$1,513.56