Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $196.72 / $1,679.54	Facility		$87.09	$196.72	$1,679.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $152.91 / $176.88	Professional		$84.50	$152.91	$176.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $170.50 / $336.56	Professional		$118.00	$170.50	$336.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $264.43 / $473.20	Professional		$148.07	$264.43	$473.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.62 / $173.75 / $239.58	Facility		$121.62	$173.75	$239.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.75 / $189.80 / $226.00	Professional		$173.75	$189.80	$226.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.54 / $2,290.03 / $2,478.96	Professional		$1,201.54	$2,290.03	$2,478.96
United Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $123.35 / $267.22	Professional		$77.19	$123.35	$267.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $305.63 / $871.09 / $871.09	Facility		$305.63	$871.09	$871.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,109.75 / $1,625.70 / $1,625.70	Professional		$1,109.75	$1,625.70	$1,625.70