Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $148.93 / $451.74	Facility		$138.54	$148.93	$451.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $138.54 / $190.49	Professional		$115.16	$138.54	$190.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.28 / $722.17 / $722.17	Facility		$361.28	$722.17	$722.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $225.75 / $557.46	Professional		$147.19	$225.75	$557.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.58 / $240.86 / $454.60	Facility		$131.58	$240.86	$454.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $201.25 / $381.82	Professional		$81.53	$201.25	$381.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $315.00 / $457.06	Facility		$138.54	$315.00	$457.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $248.04 / $315.00	Professional		$248.04	$248.04	$315.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $173.17 / $331.62	Professional		$112.56	$173.17	$331.62
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $173.17 / $362.94	Professional		$103.90	$173.17	$362.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $826.74 / $826.74	Facility		$301.32	$826.74	$826.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,338.46 / $1,423.97 / $1,423.97	Professional		$1,338.46	$1,423.97	$1,423.97