Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $129.28 / $445.06	Facility		$120.26	$129.28	$445.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $120.26 / $163.04	Professional		$99.97	$120.26	$163.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.66 / $313.62 / $422.80	Facility		$254.66	$313.62	$422.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $177.00 / $277.81	Professional		$127.78	$177.00	$277.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $209.07 / $395.00	Facility		$102.60	$209.07	$395.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $111.50 / $219.11	Professional		$69.69	$111.50	$219.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $150.33 / $249.55	Facility		$120.26	$150.33	$249.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $317.20	Professional		$150.33	$150.33	$317.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $150.33 / $287.88	Professional		$97.71	$150.33	$287.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $90.20 / $154.84	Professional		$75.17	$90.20	$154.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $261.57 / $883.04 / $883.04	Facility		$261.57	$883.04	$883.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $751.65 / $751.65 / $1,127.48	Professional		$751.65	$751.65	$1,127.48