Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.98 / $391.02 / $34,925.82	Facility		$217.98	$391.02	$34,925.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $256.08 / $308.66	Professional		$219.14	$256.08	$308.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.97 / $417.53 / $496.94	Facility		$283.97	$417.53	$496.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $269.52 / $336.91	Professional		$269.52	$269.52	$336.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $256.08 / $298.08	Facility		$241.59	$256.08	$298.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $299.45	Professional		$256.08	$256.08	$299.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $219.14 / $323.02	Facility		$190.32	$219.14	$323.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.32 / $307.98 / $360.00	Professional		$190.32	$307.98	$360.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $421.11 / $490.41	Professional		$384.10	$421.11	$490.41
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $271.45 / $307.31	Professional		$256.08	$271.45	$307.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $340.64 / $1,280.45 / $1,280.45	Facility		$340.64	$1,280.45	$1,280.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,096.76 / $1,096.76 / $1,096.76	Professional		$1,096.76	$1,096.76	$1,096.76