Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $195.84 / $743.74	Facility		$55.77	$195.84	$743.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $148.16 / $298.13	Professional		$123.16	$148.16	$298.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.74 / $386.38 / $506.60	Facility		$313.74	$386.38	$506.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $185.20 / $398.18	Professional		$157.41	$185.20	$398.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $257.72 / $486.63	Facility		$140.72	$257.72	$486.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $137.44 / $273.56	Professional		$85.97	$137.44	$273.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $185.20 / $268.54	Facility		$148.16	$185.20	$268.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $120.38 / $185.20	Professional		$120.38	$120.38	$185.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $736.25 / $736.25 / $736.25	Facility		$736.25	$736.25	$736.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $185.20 / $354.66	Professional		$120.38	$185.20	$354.66
United Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $111.12 / $203.72	Professional		$92.60	$111.12	$203.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $922.30 / $922.30 / $1,389.00	Professional		$922.30	$922.30	$1,389.00