Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $588.84	Facility		$138.04	$186.21	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $218.78	Professional		$114.82	$138.04	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $524.81	Facility		$389.05	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $398.11	Professional		$147.91	$173.78	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $275.42 / $457.09	Facility		$120.23	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $263.03	Professional		$81.28	$120.23	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $251.19	Facility		$125.89	$158.49	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $213.80	Facility		$104.71	$204.17	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $199.53	Professional		$74.13	$104.71	$199.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,318.26	Professional		$870.96	$870.96	$1,318.26