Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $240.52 / $635.23	Facility		$120.26	$240.52	$635.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $120.26 / $165.36	Professional		$99.97	$120.26	$165.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.66 / $313.62 / $411.21	Facility		$254.66	$313.62	$411.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $150.33 / $323.20	Professional		$127.78	$150.33	$323.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $209.07 / $395.00	Facility		$114.22	$209.07	$395.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $111.50 / $222.04	Professional		$69.78	$111.50	$222.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $120.26 / $217.98	Facility		$120.26	$120.26	$217.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $97.71 / $120.26	Professional		$97.71	$97.71	$120.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.73 / $1,046.73 / $1,046.73	Facility		$1,046.73	$1,046.73	$1,046.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $150.33 / $287.88	Professional		$97.71	$150.33	$287.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $90.20 / $154.84	Professional		$75.17	$90.20	$154.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $261.57 / $883.04 / $883.04	Facility		$261.57	$883.04	$883.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $748.64 / $748.64 / $1,127.48	Professional		$748.64	$748.64	$1,127.48