Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $912.01	Facility		$218.78	$295.12	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $331.13	Professional		$181.97	$218.78	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $630.96	Facility		$467.74	$616.60	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $630.96	Professional		$234.42	$275.42	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $724.44	Facility		$186.21	$436.52	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $371.54	Professional		$128.82	$204.17	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $245.47 / $398.11	Facility		$199.53	$245.47	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Professional		$275.42	$275.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $338.84	Facility		$165.96	$323.59	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $316.23	Professional		$114.82	$165.96	$316.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,041.74	Professional		$1,380.38	$1,380.38	$2,041.74