Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.30 / $269.75 / $525.00	Facility		$188.30	$269.75	$525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.30 / $207.13 / $249.42	Professional		$188.30	$207.13	$249.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.69 / $337.39 / $420.03	Facility		$215.69	$337.39	$420.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $217.80 / $272.25	Professional		$217.80	$217.80	$272.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $207.13 / $245.88	Facility		$195.40	$207.13	$245.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $247.50	Professional		$207.13	$207.13	$247.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.95 / $188.30 / $267.63	Facility		$166.95	$188.30	$267.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $258.57 / $297.00	Professional		$166.95	$258.57	$297.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.40 / $340.60 / $396.65	Professional		$331.40	$340.60	$396.65
United Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Facility		$207.00	$207.00	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $219.56 / $269.27	Professional		$207.13	$219.56	$269.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $1,035.65 / $1,035.65	Facility		$275.52	$1,035.65	$1,035.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $904.64 / $904.64 / $904.64	Professional		$904.64	$904.64	$904.64