Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.59 / $263.61 / $531.16	Facility		$207.59	$263.61	$531.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $263.61 / $349.28	Professional		$219.12	$263.61	$349.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.44 / $968.16 / $968.16	Facility		$687.44	$968.16	$968.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $296.56 / $527.22	Professional		$219.46	$296.56	$527.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.38 / $458.60 / $864.72	Facility		$250.38	$458.60	$864.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $244.58 / $486.33	Professional		$152.84	$244.58	$486.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $329.51 / $494.27	Facility		$263.61	$329.51	$494.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $630.74	Professional		$329.51	$329.51	$630.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $329.51 / $631.01	Professional		$214.18	$329.51	$631.01
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $388.82 / $395.41	Facility		$329.51	$388.82	$395.41
United Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $197.71 / $339.40	Professional		$164.76	$197.71	$339.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $573.35 / $1,565.17 / $1,565.17	Facility		$573.35	$1,565.17	$1,565.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,647.55 / $1,647.55 / $2,471.33	Professional		$1,647.55	$1,647.55	$2,471.33