Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $363.08 / $831.76	Facility		$109.65	$363.08	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $186.21	Professional		$91.20	$102.33	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $512.86 / $512.86	Facility		$275.42	$512.86	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $151.36 / $204.17	Professional		$56.23	$151.36	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $194.98 / $323.59	Facility		$85.11	$194.98	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $186.21	Professional		$57.54	$91.20	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $218.78	Facility		$100.00	$120.23	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Professional		$123.03	$123.03	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $204.17	Facility		$102.33	$162.18	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $177.83	Professional		$52.48	$85.11	$177.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $933.25	Professional		$616.60	$616.60	$933.25