Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $396.55 / $577.38	Facility		$106.67	$396.55	$577.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $117.72 / $233.41	Professional		$83.45	$117.72	$233.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.58 / $274.62 / $452.08	Facility		$212.58	$274.62	$452.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $241.86 / $391.26	Professional		$94.12	$241.86	$391.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.36 / $174.86 / $329.16	Facility		$95.36	$174.86	$329.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $144.99 / $274.91	Professional		$59.03	$144.99	$274.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.39 / $227.00 / $345.00	Facility		$100.39	$227.00	$345.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.53 / $178.53 / $315.00	Professional		$178.53	$178.53	$315.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $125.49 / $240.31	Professional		$81.56	$125.49	$240.31
United Facility/Professional Facility Modifier Low / Median / High Price $150.59 / $150.59 / $150.59	Facility		$150.59	$150.59	$150.59
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $125.49 / $278.62	Professional		$75.29	$125.49	$278.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $268.18 / $596.08 / $704.00	Facility		$268.18	$596.08	$704.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,215.00 / $1,215.00 / $1,215.00	Professional		$1,215.00	$1,215.00	$1,215.00