Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $457.09	Facility		$109.65	$147.91	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $165.96	Professional		$91.20	$109.65	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $426.58	Facility		$234.42	$309.03	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $218.78	Professional		$61.66	$117.49	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $363.08	Facility		$93.33	$218.78	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $208.93	Professional		$63.10	$95.50	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $123.03 / $199.53	Facility		$97.72	$123.03	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Professional		$138.04	$138.04	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $162.18 / $165.96	Facility		$81.28	$162.18	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $151.36	Professional		$57.54	$81.28	$151.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,023.29	Professional		$691.83	$691.83	$1,023.29