Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $851.14 / $912.01	Facility		$169.82	$851.14	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $309.03	Professional		$151.36	$190.55	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $281.84 / $436.52	Professional		$69.18	$281.84	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $436.52	Professional		$144.54	$229.09	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $354.81	Facility		$151.36	$213.80	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $281.84 / $363.08	Professional		$74.13	$281.84	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $288.40	Professional		$147.91	$186.21	$288.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,380.38	Professional		$1,122.02	$1,122.02	$1,380.38