Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $267.75 / $439.69	Facility		$142.63	$267.75	$439.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $242.85	Professional		$142.62	$142.63	$242.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.44 / $292.44 / $292.44	Facility		$292.44	$292.44	$292.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $228.21 / $351.78	Professional		$142.63	$228.21	$351.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $117.83 / $297.20	Facility		$108.38	$117.83	$297.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $121.61 / $224.62	Professional		$70.01	$121.61	$224.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $206.81	Facility		$142.63	$142.63	$206.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,294.11 / $3,565.33 / $16,587.99	Facility		$3,294.11	$3,565.33	$16,587.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $150.47 / $273.14	Professional		$92.71	$150.47	$273.14
United Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $95.27 / $167.58	Professional		$71.22	$95.27	$167.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $710.30 / $1,069.73	Professional		$710.30	$710.30	$1,069.73