Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.65 / $200.57 / $757.18	Facility		$97.65	$200.57	$757.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $148.16 / $295.00	Professional		$100.00	$148.16	$295.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.38 / $544.02 / $544.02	Facility		$386.38	$544.02	$544.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $255.58 / $342.25	Professional		$157.41	$255.58	$342.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $257.72 / $486.63	Facility		$126.40	$257.72	$486.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $137.44 / $269.95	Professional		$85.91	$137.44	$269.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $185.20 / $307.43	Facility		$148.16	$185.20	$307.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $194.71	Professional		$185.20	$185.20	$194.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $185.20 / $354.66	Professional		$120.38	$185.20	$354.66
United Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $111.12 / $185.20	Professional		$92.60	$111.12	$185.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $926.00 / $1,389.00	Professional		$926.00	$926.00	$1,389.00