Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.80 / $270.18 / $290.45	Facility		$208.80	$270.18	$290.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $270.18 / $357.99	Professional		$224.59	$270.18	$357.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.08 / $381.38 / $704.58	Facility		$314.08	$381.38	$704.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $129.53 / $337.73	Professional		$107.87	$129.53	$337.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.50 / $470.16 / $886.96	Facility		$230.50	$470.16	$886.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $157.08 / $492.11	Professional		$121.29	$157.08	$492.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $129.53 / $489.71	Facility		$129.53	$129.53	$489.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $129.53 / $166.26	Professional		$129.53	$129.53	$166.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.52 / $337.73 / $646.75	Professional		$219.52	$337.73	$646.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $168.87 / $337.73	Professional		$64.77	$168.87	$337.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $587.65 / $1,604.22 / $1,604.22	Facility		$587.65	$1,604.22	$1,604.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,688.65 / $1,688.65 / $2,532.98	Professional		$1,688.65	$1,688.65	$2,532.98