Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.92 / $239.19 / $10,617.87	Facility		$126.92	$239.19	$10,617.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $98.28 / $131.07	Professional		$89.34	$98.28	$131.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $188.24 / $252.77	Facility		$107.54	$188.24	$252.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $154.19 / $188.24	Professional		$146.49	$154.19	$188.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $159.97	Facility		$84.29	$89.34	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $154.19	Professional		$89.34	$89.34	$154.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $107.94 / $177.69	Facility		$90.24	$107.94	$177.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $172.45 / $193.00	Professional		$92.81	$172.45	$193.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $142.94 / $235.80	Professional		$119.40	$142.94	$235.80
United Facility/Professional Facility Modifier Low / Median / High Price $127.59 / $127.59 / $195.94	Facility		$127.59	$127.59	$195.94
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $111.68	Professional		$89.34	$94.70	$111.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $131.07 / $195.25 / $588.60	Facility		$131.07	$195.25	$588.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,160.52 / $1,160.52 / $1,160.52	Professional		$1,160.52	$1,160.52	$1,160.52