Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $121.00 / $297.29	Facility		$108.50	$121.00	$297.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $103.36 / $175.80	Professional		$75.43	$103.36	$175.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $132.68 / $184.89	Facility		$110.57	$132.68	$184.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $123.62 / $238.61	Professional		$93.10	$123.62	$238.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $64.00 / $186.00	Facility		$45.00	$64.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $144.61 / $250.46	Professional		$102.42	$144.61	$250.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $111.72 / $197.61	Facility		$86.16	$111.72	$197.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $111.72 / $111.72	Professional		$19.43	$111.72	$111.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $158.83 / $175.23	Professional		$158.83	$158.83	$175.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $101.70 / $215.57	Professional		$81.18	$101.70	$215.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $251.71 / $556.70	Facility		$200.62	$251.71	$556.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $692.10 / $892.35 / $892.35	Professional		$692.10	$892.35	$892.35