Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $240.00 / $258.00	Facility		$141.19	$240.00	$258.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $240.00 / $318.00	Professional		$199.50	$240.00	$318.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $257.92 / $625.88	Facility		$212.42	$257.92	$625.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $87.60 / $400.29	Professional		$74.45	$87.60	$400.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.75 / $417.65 / $787.32	Facility		$204.75	$417.65	$787.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $139.46 / $437.21	Professional		$81.86	$139.46	$437.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $87.60 / $435.00	Facility		$87.60	$87.60	$435.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $87.60 / $195.00	Professional		$87.60	$87.60	$195.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $300.00 / $574.50	Professional		$195.00	$300.00	$574.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $140.16 / $300.00	Professional		$43.80	$140.16	$300.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $1,425.00 / $1,425.00	Facility		$522.00	$1,425.00	$1,425.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,250.00	Professional		$1,500.00	$1,500.00	$2,250.00