Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $326.27 / $639.58	Facility		$161.91	$326.27	$639.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $161.91 / $214.54	Professional		$134.60	$161.91	$214.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.26 / $552.92 / $594.54	Facility		$422.26	$552.92	$594.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $202.40 / $435.16	Professional		$172.04	$202.40	$435.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.79 / $281.81 / $531.11	Facility		$153.79	$281.81	$531.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $150.30 / $298.80	Professional		$93.52	$150.30	$298.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $202.40 / $303.60	Facility		$161.91	$202.40	$303.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $390.00	Professional		$202.40	$202.40	$390.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $202.40 / $387.60	Professional		$131.56	$202.40	$387.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $121.44 / $208.47	Professional		$101.20	$121.44	$208.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $352.18 / $961.40 / $961.40	Facility		$352.18	$961.40	$961.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $1,518.00	Professional		$1,012.00	$1,012.00	$1,518.00