Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $383.59 / $624.16	Facility		$102.63	$383.59	$624.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $128.29 / $163.22	Professional		$102.63	$128.29	$163.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.33 / $267.64 / $340.41	Facility		$217.33	$267.64	$340.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $115.46 / $234.83	Professional		$86.45	$115.46	$234.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.48 / $178.72 / $337.17	Facility		$97.48	$178.72	$337.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $95.32 / $244.21	Professional		$59.58	$95.32	$244.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $186.02	Facility		$97.44	$97.44	$186.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $97.44 / $102.95	Professional		$97.44	$97.44	$102.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $421.66 / $421.66 / $421.66	Facility		$421.66	$421.66	$421.66
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $76.97 / $146.16	Professional		$48.72	$76.97	$146.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $609.38 / $609.38	Facility		$223.22	$609.38	$609.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $641.45 / $641.45 / $962.18	Professional		$641.45	$641.45	$962.18