Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.31 / $398.39 / $779.00	Facility		$155.31	$398.39	$779.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $197.22 / $261.31	Professional		$163.94	$197.22	$261.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.30 / $727.64 / $727.64	Facility		$514.30	$727.64	$727.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $221.97 / $394.43	Professional		$110.93	$221.97	$394.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.25 / $342.98 / $646.76	Facility		$168.25	$342.98	$646.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $222.02 / $359.42	Professional		$114.33	$222.02	$359.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $247.14 / $369.78	Facility		$197.22	$247.14	$369.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $79.84 / $247.14	Professional		$79.84	$79.84	$247.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $246.52 / $472.09	Professional		$160.24	$246.52	$472.09
United Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $147.91 / $247.14	Professional		$123.26	$147.91	$247.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $428.94 / $1,170.97 / $1,170.97	Facility		$428.94	$1,170.97	$1,170.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,232.59 / $1,232.59 / $1,848.90	Professional		$1,232.59	$1,232.59	$1,848.90