Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $161.91 / $307.36	Facility		$127.51	$161.91	$307.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $161.91 / $214.54	Professional		$134.60	$161.91	$214.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.88 / $422.26 / $569.24	Facility		$342.88	$422.26	$569.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $171.26 / $323.83	Professional		$91.08	$171.26	$323.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $281.81 / $531.11	Facility		$138.13	$281.81	$531.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $178.42 / $294.86	Professional		$92.63	$178.42	$294.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $190.68 / $303.60	Facility		$161.91	$190.68	$303.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $131.56 / $190.68	Professional		$131.56	$131.56	$190.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $202.40 / $387.60	Professional		$131.56	$202.40	$387.60
United Facility/Professional Facility Modifier Low / Median / High Price $242.88 / $242.88 / $242.88	Facility		$242.88	$242.88	$242.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $121.44 / $208.47	Professional		$95.20	$121.44	$208.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $352.18 / $961.40 / $961.40	Facility		$352.18	$961.40	$961.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $1,518.00	Professional		$1,012.00	$1,012.00	$1,518.00