Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $277.39 / $835.48	Facility		$219.86	$277.39	$835.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $219.86 / $412.24	Professional		$175.00	$219.86	$412.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.36 / $807.30 / $807.30	Facility		$573.36	$807.30	$807.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $379.27 / $507.89	Professional		$233.61	$379.27	$507.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $382.48 / $721.49	Facility		$187.57	$382.48	$721.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $203.99 / $400.60	Professional		$127.38	$203.99	$400.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $274.83 / $445.90	Facility		$219.86	$274.83	$445.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $630.70	Professional		$274.83	$274.83	$630.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $274.83 / $526.29	Professional		$178.64	$274.83	$526.29
United Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $164.90 / $283.07	Professional		$137.41	$164.90	$283.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,305.44 / $1,305.44	Facility		$478.20	$1,305.44	$1,305.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,374.15 / $2,061.23	Professional		$1,374.15	$1,374.15	$2,061.23