Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.68 / $204.04 / $419.53	Facility		$160.68	$204.04	$419.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $204.04 / $270.35	Professional		$169.61	$204.04	$270.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.06 / $630.55 / $716.70	Facility		$432.06	$630.55	$716.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $117.12 / $408.08	Professional		$114.77	$117.12	$408.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $355.03 / $669.89	Facility		$193.80	$355.03	$669.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $229.56 / $371.62	Professional		$118.34	$229.56	$371.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.14 / $186.14 / $382.58	Facility		$186.14	$186.14	$382.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $186.14 / $350.00	Professional		$186.14	$186.14	$350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $255.05 / $269.08	Professional		$255.05	$255.05	$269.08
United Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $153.03 / $260.26	Professional		$98.89	$153.03	$260.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $443.79 / $1,211.49 / $1,211.49	Facility		$443.79	$1,211.49	$1,211.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,275.25 / $1,275.25 / $1,912.88	Professional		$1,275.25	$1,275.25	$1,912.88