Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $524.81	Facility		$134.90	$223.87	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $223.87	Professional		$100.00	$138.04	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $323.59 / $478.63	Facility		$288.40	$323.59	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $234.42	Professional		$58.88	$83.18	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $269.15 / $446.68	Facility		$109.65	$269.15	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $229.09	Professional		$79.43	$120.23	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $257.04	Facility		$102.33	$151.36	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $158.49 / $199.53	Facility		$77.62	$158.49	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $173.78	Professional		$64.57	$102.33	$173.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,288.25	Professional		$851.14	$851.14	$1,288.25