Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $153.60 / $165.12	Facility		$120.96	$153.60	$165.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $153.60 / $203.52	Professional		$127.68	$153.60	$203.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $228.58 / $540.00	Facility		$178.37	$228.58	$540.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $172.80 / $291.83	Professional		$71.12	$172.80	$291.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $267.35 / $504.42	Facility		$145.88	$267.35	$504.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $89.12 / $249.36	Professional		$38.93	$89.12	$249.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $83.67 / $278.39	Facility		$83.67	$83.67	$278.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $83.67 / $249.96	Professional		$83.67	$83.67	$249.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $192.00 / $367.68	Professional		$124.80	$192.00	$367.68
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $96.00 / $192.00	Professional		$41.84	$96.00	$192.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $334.08 / $912.00 / $912.00	Facility		$334.08	$912.00	$912.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $1,440.00	Professional		$960.00	$960.00	$1,440.00