Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $220.85 / $650.25	Facility		$109.60	$220.85	$650.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $109.60 / $205.50	Professional		$15.13	$109.60	$205.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.09 / $285.82 / $385.32	Facility		$232.09	$285.82	$385.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $116.45 / $246.60	Professional		$61.65	$116.45	$246.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $190.76 / $359.41	Facility		$104.10	$190.76	$359.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $101.74 / $202.47	Professional		$63.39	$101.74	$202.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $137.00 / $205.50	Facility		$109.60	$137.00	$205.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $249.96	Professional		$137.00	$137.00	$249.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $372.72 / $372.72 / $372.72	Facility		$372.72	$372.72	$372.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $137.00 / $262.36	Professional		$89.05	$137.00	$262.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $82.20 / $137.00	Professional		$68.50	$82.20	$137.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $238.38 / $650.75 / $650.75	Facility		$238.38	$650.75	$650.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $1,027.50	Professional		$685.00	$685.00	$1,027.50