Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $105.11 / $268.77	Facility		$85.55	$105.11	$268.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $98.56 / $216.72	Professional		$81.28	$98.56	$216.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.98 / $456.56 / $490.93	Facility		$254.98	$456.56	$490.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $122.22 / $214.19	Professional		$55.00	$122.22	$214.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $170.05 / $321.16	Facility		$92.87	$170.05	$321.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $112.84 / $177.93	Professional		$56.68	$112.84	$177.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $166.74 / $203.70	Facility		$97.78	$166.74	$203.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $166.74 / $783.27	Professional		$166.74	$166.74	$783.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $122.22 / $234.05	Professional		$79.44	$122.22	$234.05
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $83.37 / $166.74	Professional		$61.11	$83.37	$166.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $580.54 / $580.54	Facility		$212.66	$580.54	$580.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $611.10 / $916.65	Professional		$611.10	$611.10	$916.65