Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $170.64 / $244.55	Facility		$134.38	$170.64	$244.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $170.64 / $226.10	Professional		$141.84	$170.64	$226.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.77 / $388.52 / $599.91	Facility		$323.77	$388.52	$599.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $136.26 / $280.36	Professional		$95.99	$136.26	$280.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $296.74 / $559.58	Facility		$145.58	$296.74	$559.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $150.66 / $310.62	Professional		$97.58	$150.66	$310.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $151.71 / $309.29	Facility		$151.71	$151.71	$309.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $138.65 / $151.71	Professional		$138.65	$138.65	$151.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $213.30 / $408.47	Professional		$138.65	$213.30	$408.47
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $127.98 / $213.30	Professional		$75.86	$127.98	$213.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $371.14 / $1,013.18 / $1,013.18	Facility		$371.14	$1,013.18	$1,013.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,066.50 / $1,066.50 / $1,599.75	Professional		$1,066.50	$1,066.50	$1,599.75