Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $1,023.29	Facility		$245.47	$295.12	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $245.47 / $371.54	Professional		$87.10	$245.47	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $489.78 / $691.83	Facility		$398.11	$489.78	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $407.38	Professional		$138.04	$144.54	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $812.83	Facility		$199.53	$489.78	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $416.87	Professional		$141.25	$169.82	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $269.15 / $446.68	Facility		$114.82	$269.15	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Professional		$309.03	$309.03	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $194.98 / $363.08	Facility		$97.72	$194.98	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $275.42	Professional		$81.28	$162.18	$275.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Professional		$1,548.82	$1,548.82	$2,290.87