Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $363.08	Facility		$87.10	$117.49	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $144.54	Professional		$72.44	$89.13	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $467.74	Facility		$186.21	$251.19	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $190.55	Professional		$48.98	$97.72	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $288.40	Facility		$74.13	$173.78	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $162.18	Professional		$50.12	$81.28	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $107.15 / $190.55	Facility		$87.10	$107.15	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $114.82	Professional		$109.65	$109.65	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $181.97	Facility		$89.13	$144.54	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $154.88	Professional		$45.71	$74.13	$154.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $812.83	Professional		$549.54	$549.54	$812.83