Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $190.40 / $260.63	Facility		$149.94	$190.40	$260.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $190.40 / $252.28	Professional		$158.27	$190.40	$252.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.05 / $403.18 / $669.38	Facility		$392.05	$403.18	$669.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $145.21 / $298.77	Professional		$107.10	$145.21	$298.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $331.42 / $624.52	Facility		$162.44	$331.42	$624.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $160.59 / $346.71	Professional		$108.81	$160.59	$346.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.68 / $161.68 / $345.10	Facility		$161.68	$161.68	$345.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $161.68	Professional		$110.00	$110.00	$161.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $238.00 / $455.77	Professional		$154.69	$238.00	$455.77
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $142.80 / $242.52	Professional		$80.84	$142.80	$242.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $414.12 / $1,130.50 / $1,130.50	Facility		$414.12	$1,130.50	$1,130.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,785.00	Professional		$1,190.00	$1,190.00	$1,785.00