Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $242.10 / $260.25	Facility		$40.18	$242.10	$260.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $242.10 / $320.77	Professional		$201.24	$242.10	$320.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.30 / $135.81 / $631.33	Facility		$126.30	$135.81	$631.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $47.20 / $302.62	Professional		$38.25	$47.20	$302.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $421.02 / $794.44	Facility		$206.54	$421.02	$794.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $81.06 / $365.72	Professional		$26.90	$81.06	$365.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $68.25 / $361.90	Facility		$48.12	$68.25	$361.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $46.65 / $63.39	Professional		$46.65	$46.65	$63.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $319.26	Professional		$196.70	$196.70	$319.26
United Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $151.31 / $302.62	Professional		$22.75	$151.31	$302.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $526.55 / $1,437.45 / $1,437.45	Facility		$526.55	$1,437.45	$1,437.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,513.10 / $1,513.10 / $2,269.65	Professional		$1,513.10	$1,513.10	$2,269.65