Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $201.24 / $377.21	Facility		$147.41	$201.24	$377.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $187.20 / $248.04	Professional		$155.61	$187.20	$248.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.18 / $687.36 / $687.36	Facility		$488.18	$687.36	$687.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $198.90 / $421.20	Professional		$105.30	$198.90	$421.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $325.64 / $614.73	Facility		$159.71	$325.64	$614.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $173.68 / $341.12	Professional		$108.53	$173.68	$341.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $234.00 / $351.00	Facility		$187.20	$234.00	$351.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.57 / $201.57 / $234.00	Professional		$201.57	$201.57	$234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $234.00 / $448.11	Professional		$152.10	$234.00	$448.11
United Facility/Professional Facility Modifier Low / Median / High Price $280.80 / $280.80 / $280.80	Facility		$280.80	$280.80	$280.80
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $234.00	Professional		$98.28	$140.40	$234.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.16 / $1,111.50 / $1,111.50	Facility		$407.16	$1,111.50	$1,111.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $1,755.00	Professional		$1,170.00	$1,170.00	$1,755.00