Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $321.42 / $563.54	Facility		$99.90	$321.42	$563.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $99.90 / $171.48	Professional		$83.04	$99.90	$171.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.51 / $366.88 / $366.88	Facility		$260.51	$366.88	$366.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $112.38 / $199.79	Professional		$83.16	$112.38	$199.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.89 / $173.90 / $327.38	Facility		$94.89	$173.90	$327.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $92.75 / $184.43	Professional		$57.96	$92.75	$184.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $124.87 / $187.31	Facility		$99.90	$124.87	$187.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $317.20	Professional		$124.87	$124.87	$317.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $124.87 / $239.13	Professional		$81.17	$124.87	$239.13
United Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $149.84 / $149.84	Facility		$149.84	$149.84	$149.84
United Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $74.92 / $124.87	Professional		$62.44	$74.92	$124.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $217.27 / $883.04 / $883.04	Facility		$217.27	$883.04	$883.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $624.35 / $936.53	Professional		$624.35	$624.35	$936.53