Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $831.76	Facility		$218.78	$295.12	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $363.08	Professional		$173.78	$218.78	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $831.76	Facility		$602.56	$831.76	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $489.78	Professional		$234.42	$389.05	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $724.44	Facility		$186.21	$436.52	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $371.54	Professional		$128.82	$190.55	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $416.87	Facility		$208.93	$245.47	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Professional		$275.42	$275.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $338.84	Facility		$165.96	$323.59	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $316.23	Professional		$114.82	$165.96	$316.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,041.74	Professional		$1,380.38	$1,380.38	$2,041.74