Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $154.60 / $317.88	Facility		$121.75	$154.60	$317.88
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 $378.69 / $521.80 / $521.80	Facility		$378.69	$521.80	$521.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $173.93 / $313.73	Professional		$131.33	$173.93	$313.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $268.80 / $507.09	Facility		$146.84	$268.80	$507.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $143.36 / $285.41	Professional		$89.60	$143.36	$285.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $197.19 / $289.88	Facility		$154.60	$197.19	$289.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $197.19 / $844.71	Professional		$197.19	$197.19	$844.71
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 Facility Modifier Low / Median / High Price $231.90 / $231.90 / $231.90	Facility		$231.90	$231.90	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $115.95 / $197.19	Professional		$96.63	$115.95	$197.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $1,189.41 / $1,189.41	Facility		$336.26	$1,189.41	$1,189.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $966.25 / $966.25 / $1,449.38	Professional		$966.25	$966.25	$1,449.38