Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $269.56 / $494.44	Facility		$210.39	$269.56	$494.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $210.39 / $252.47	Professional		$174.89	$210.39	$252.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.51 / $548.66 / $719.39	Facility		$445.51	$548.66	$719.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $262.99 / $565.42	Professional		$223.54	$262.99	$565.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.83 / $366.11 / $690.35	Facility		$199.83	$366.11	$690.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $195.26 / $388.44	Professional		$122.08	$195.26	$388.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $262.99 / $381.34	Facility		$210.39	$262.99	$381.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $170.94 / $262.99	Professional		$170.94	$170.94	$262.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $669.81 / $669.81 / $669.81	Facility		$669.81	$669.81	$669.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $170.94 / $277.45	Professional		$170.94	$170.94	$277.45
United Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $157.79 / $262.99	Professional		$131.50	$157.79	$262.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $457.60 / $1,249.20 / $1,249.20	Facility		$457.60	$1,249.20	$1,249.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,309.69 / $1,309.69 / $1,972.43	Professional		$1,309.69	$1,309.69	$1,972.43