Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.86 / $257.39 / $584.65	Facility		$153.86	$257.39	$584.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $153.86 / $238.73	Professional		$127.89	$153.86	$238.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $386.77 / $432.71	Facility		$325.80	$386.77	$432.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $86.54 / $287.35	Professional		$71.84	$86.54	$287.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $267.83 / $505.31	Facility		$146.13	$267.83	$505.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $149.69 / $280.12	Professional		$89.21	$149.69	$280.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.86 / $176.78 / $288.48	Facility		$153.86	$176.78	$288.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $125.01 / $176.78	Professional		$125.01	$125.01	$176.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $192.32 / $368.29	Professional		$125.01	$192.32	$368.29
United Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $115.39 / $201.48	Professional		$83.46	$115.39	$201.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $334.64 / $913.52 / $913.52	Facility		$334.64	$913.52	$913.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $961.60 / $961.60 / $1,442.40	Professional		$961.60	$961.60	$1,442.40