Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.12 / $178.29 / $695.39	Facility		$145.12	$178.29	$695.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $165.85 / $244.17	Professional		$137.86	$165.85	$244.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.50 / $1,270.14 / $1,270.14	Facility		$432.50	$1,270.14	$1,270.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $366.68 / $504.86	Professional		$93.29	$366.68	$504.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.52 / $288.55 / $544.45	Facility		$157.52	$288.55	$544.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $200.34 / $432.38	Professional		$96.17	$200.34	$432.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $431.39 / $431.39	Facility		$165.85	$431.39	$431.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $431.39	Professional		$115.00	$115.00	$431.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $207.31 / $397.00	Professional		$134.75	$207.31	$397.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $207.31 / $431.39	Professional		$103.66	$207.31	$431.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $360.72 / $984.72 / $984.72	Facility		$360.72	$984.72	$984.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,488.30 / $1,488.30 / $1,554.83	Professional		$1,488.30	$1,488.30	$1,554.83