Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.33 / $233.33 / $233.33	Facility		$233.33	$233.33	$233.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $233.33 / $233.33	Professional		$163.33	$233.33	$233.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.63 / $256.36 / $486.78	Facility		$213.63	$256.36	$486.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $199.85 / $213.18	Professional		$179.87	$199.85	$213.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $309.00	Professional		$130.22	$178.39	$309.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $233.33 / $303.33	Facility		$77.23	$233.33	$303.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $197.77	Professional		$178.00	$178.00	$197.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $319.80 / $491.60	Professional		$319.80	$319.80	$491.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $132.94 / $239.82	Professional		$101.45	$132.94	$239.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $416.35 / $1,265.73 / $1,265.73	Facility		$416.35	$1,265.73	$1,265.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,327.02 / $1,327.02 / $1,998.53	Professional		$1,327.02	$1,327.02	$1,998.53