Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $851.14	Facility		$204.17	$275.42	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $309.03	Professional		$169.82	$204.17	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $812.83	Facility		$436.52	$645.65	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $407.38	Professional		$114.82	$117.49	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $676.08	Facility		$173.78	$407.38	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $346.74	Professional		$117.49	$190.55	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $380.19	Facility		$199.53	$229.09	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $269.15	Professional		$257.04	$257.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $245.47 / $302.00	Facility		$120.23	$245.47	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $263.03	Professional		$97.72	$151.36	$263.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,905.46	Professional		$1,288.25	$1,288.25	$1,905.46