Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $179.40 / $374.22	Facility		$57.63	$179.40	$374.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $73.33 / $178.74	Professional		$60.95	$73.33	$178.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.22 / $368.20 / $368.20	Facility		$191.22	$368.20	$368.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $95.67 / $146.66	Professional		$41.25	$95.67	$146.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $127.66 / $240.20	Facility		$69.65	$127.66	$240.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $84.63 / $133.69	Professional		$42.55	$84.63	$133.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $125.06 / $152.16	Facility		$73.33	$125.06	$152.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $94.12 / $125.06	Professional		$94.12	$94.12	$125.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.73 / $1,046.73 / $1,046.73	Facility		$1,046.73	$1,046.73	$1,046.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $91.66 / $175.53	Professional		$59.58	$91.66	$175.53
United Facility/Professional Facility Modifier Low / Median / High Price $120.18 / $125.06 / $150.07	Facility		$120.18	$125.06	$150.07
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $62.53 / $125.06	Professional		$45.83	$62.53	$125.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $435.39 / $435.39	Facility		$159.49	$435.39	$435.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $458.30 / $687.45	Professional		$458.30	$458.30	$687.45