Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $338.68 / $636.74	Facility		$93.65	$338.68	$636.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $161.19 / $276.70	Professional		$134.00	$161.19	$276.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.35 / $453.39 / $704.01	Facility		$341.35	$453.39	$704.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $181.35 / $353.11	Professional		$75.03	$181.35	$353.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.12 / $280.36 / $529.33	Facility		$153.12	$280.36	$529.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $186.07 / $293.33	Professional		$93.45	$186.07	$293.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $274.89 / $334.49	Facility		$161.19	$274.89	$334.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $274.89	Professional		$156.91	$156.91	$274.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $201.50 / $385.87	Professional		$130.97	$201.50	$385.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $137.44 / $274.89	Professional		$100.75	$137.44	$274.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $350.61 / $957.13 / $957.13	Facility		$350.61	$957.13	$957.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,007.50 / $1,007.50 / $1,511.25	Professional		$1,007.50	$1,007.50	$1,511.25