Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $575.44	Facility		$138.04	$229.09	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $269.15	Professional		$128.82	$151.36	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $741.31	Facility		$398.11	$741.31	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $630.96	Professional		$128.82	$239.88	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $457.09	Facility		$117.49	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $380.19	Professional		$81.28	$158.49	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $478.63	Facility		$141.25	$251.19	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $302.00	Facility		$147.91	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $389.05	Professional		$104.71	$147.91	$389.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,412.54	Professional		$1,348.96	$1,412.54	$1,412.54