Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $154.60 / $320.80	Facility		$154.60	$154.60	$320.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $154.60 / $204.85	Professional		$128.51	$154.60	$204.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.37 / $403.16 / $403.67	Facility		$327.37	$403.16	$403.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $193.25 / $415.49	Professional		$164.26	$193.25	$415.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $268.80 / $507.09	Facility		$146.84	$268.80	$507.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $143.36 / $285.41	Professional		$89.69	$143.36	$285.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $154.60 / $280.20	Facility		$154.60	$154.60	$280.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $125.61 / $154.60	Professional		$125.61	$125.61	$154.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $193.25 / $370.07	Professional		$125.61	$193.25	$370.07
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $115.95 / $199.05	Professional		$96.63	$115.95	$199.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $917.94 / $917.94	Facility		$336.26	$917.94	$917.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $962.39 / $962.39 / $1,449.38	Professional		$962.39	$962.39	$1,449.38