Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $161.93 / $318.33	Facility		$121.75	$161.93	$318.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $154.60 / $204.85	Professional		$128.51	$154.60	$204.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.37 / $403.16 / $543.53	Facility		$327.37	$403.16	$543.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $141.10 / $309.20	Professional		$86.96	$141.10	$309.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $268.80 / $507.09	Facility		$131.88	$268.80	$507.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $173.98 / $281.64	Professional		$89.60	$173.98	$281.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $197.48 / $320.80	Facility		$154.60	$197.48	$320.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $197.48 / $383.74	Professional		$197.48	$197.48	$383.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $193.25 / $370.07	Professional		$125.61	$193.25	$370.07
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $115.95 / $199.05	Professional		$96.63	$115.95	$199.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $917.94 / $917.94	Facility		$336.26	$917.94	$917.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $966.25 / $966.25 / $1,449.38	Professional		$966.25	$966.25	$1,449.38