Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.14 / $236.35 / $443.01	Facility		$173.14	$236.35	$443.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $219.86 / $291.32	Professional		$39.22	$219.86	$291.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.48 / $772.95 / $807.38	Facility		$519.48	$772.95	$807.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $233.61 / $494.69	Professional		$123.67	$233.61	$494.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $382.48 / $721.49	Facility		$208.83	$382.48	$721.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.27 / $203.99 / $405.96	Professional		$127.27	$203.99	$405.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $274.83 / $412.25	Facility		$219.86	$274.83	$412.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $178.64 / $274.83	Professional		$178.64	$178.64	$274.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $274.83 / $526.29	Professional		$178.64	$274.83	$526.29
United Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $164.90 / $283.07	Professional		$137.41	$164.90	$283.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,305.44 / $1,305.44	Facility		$478.20	$1,305.44	$1,305.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,374.15 / $2,061.23	Professional		$1,374.15	$1,374.15	$2,061.23