Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.22 / $247.22 / $247.22	Facility		$247.22	$247.22	$247.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $247.22 / $247.22	Professional		$173.87	$247.22	$247.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $176.80 / $194.48	Professional		$164.12	$176.80	$194.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $242.59 / $247.22 / $363.89	Facility		$242.59	$247.22	$363.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.59 / $242.59 / $242.59	Professional		$242.59	$242.59	$242.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.39 / $321.39 / $321.39	Professional		$321.39	$321.39	$321.39
United Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $310.58 / $420.04	Facility		$310.58	$310.58	$420.04
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $330.94	Professional		$254.57	$254.57	$330.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $505.72 / $1,443.76	Facility		$428.48	$505.72	$1,443.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,351.44 / $2,226.23 / $2,226.23	Professional		$1,351.44	$2,226.23	$2,226.23