Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $196.10 / $387.39	Facility		$101.94	$196.10	$387.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $101.94 / $162.19	Professional		$84.74	$101.94	$162.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.85 / $447.33 / $447.33	Facility		$265.85	$447.33	$447.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $127.43 / $203.89	Professional		$57.34	$127.43	$203.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $177.27 / $334.50	Facility		$92.48	$177.27	$334.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $114.62 / $185.56	Professional		$59.09	$114.62	$185.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $151.93 / $211.53	Facility		$101.94	$151.93	$211.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $151.93 / $562.00	Professional		$151.93	$151.93	$562.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $127.43 / $244.03	Professional		$82.83	$127.43	$244.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $76.45 / $151.93	Professional		$63.72	$76.45	$151.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $605.29 / $605.29	Facility		$221.73	$605.29	$605.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $637.15 / $637.15 / $955.73	Professional		$637.15	$637.15	$955.73