Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.45 / $171.45 / $277.54	Facility		$171.45	$171.45	$277.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $171.45 / $176.28	Professional		$166.41	$171.45	$176.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.49 / $350.33 / $511.20	Professional		$214.49	$350.33	$511.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.12 / $193.12 / $193.12	Facility		$193.12	$193.12	$193.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.45 / $178.17 / $429.41	Facility		$171.45	$178.17	$429.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $178.17	Professional		$178.17	$178.17	$178.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $240.04 / $498.40	Professional		$136.40	$240.04	$498.40
United Facility/Professional Professional Modifier Low / Median / High Price $135.62 / $249.74 / $459.99	Professional		$135.62	$249.74	$459.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.35 / $334.72 / $921.22	Facility		$322.35	$334.72	$921.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,158.18 / $1,425.23 / $1,425.23	Professional		$1,158.18	$1,425.23	$1,425.23