Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $223.40 / $453.73	Facility		$109.59	$223.40	$453.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $200.00 / $318.62	Professional		$91.11	$200.00	$318.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.09 / $308.26 / $374.27	Facility		$232.09	$308.26	$374.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $189.06 / $888.90	Professional		$116.45	$189.06	$888.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $190.76 / $359.41	Facility		$93.50	$190.76	$359.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $101.74 / $199.79	Professional		$63.50	$101.74	$199.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $137.00 / $227.42	Facility		$109.60	$137.00	$227.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $249.96	Professional		$137.00	$137.00	$249.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $137.00 / $262.36	Professional		$89.05	$137.00	$262.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $82.20 / $141.11	Professional		$68.50	$82.20	$141.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $238.38 / $650.75 / $650.75	Facility		$238.38	$650.75	$650.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $1,027.50	Professional		$685.00	$685.00	$1,027.50