Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $260.20 / $625.69	Facility		$146.26	$260.20	$625.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.01 / $236.01 / $260.20	Professional		$236.01	$236.01	$260.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $180.17 / $198.19	Professional		$180.16	$180.17	$198.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $306.12	Professional		$260.20	$260.20	$306.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $160.38 / $336.73	Facility		$30.40	$160.38	$336.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $30.40 / $30.40	Professional		$30.40	$30.40	$30.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $447.24 / $531.61	Professional		$428.62	$447.24	$531.61
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $336.73	Professional		$255.10	$255.10	$336.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $290.81 / $338.08 / $612.24	Facility		$290.81	$338.08	$612.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,163.26 / $1,163.26 / $1,311.93	Professional		$1,163.26	$1,163.26	$1,311.93