Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $870.96	Facility		$208.93	$281.84	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $316.23	Professional		$173.78	$208.93	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $794.33	Facility		$588.84	$794.33	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $416.87	Professional		$117.49	$223.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $416.87 / $691.83	Facility		$186.21	$416.87	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $398.11	Professional		$120.23	$194.98	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $323.59	Facility		$154.88	$208.93	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $194.98	Professional		$169.82	$169.82	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Professional		$263.03	$263.03	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $263.03 / $309.03	Facility		$128.82	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $263.03	Professional		$109.65	$128.82	$263.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,949.84	Professional		$1,288.25	$1,288.25	$1,949.84