Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.86 / $251.82 / $21,807.96	Facility		$198.86	$251.82	$21,807.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $217.09 / $260.51	Professional		$198.86	$217.09	$260.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.16 / $355.33 / $447.08	Facility		$227.16	$355.33	$447.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.76 / $245.76 / $307.20	Professional		$245.76	$245.76	$307.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $217.09 / $217.09	Facility		$204.80	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $251.88	Professional		$217.09	$217.09	$251.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $198.86 / $279.95	Facility		$170.18	$198.86	$279.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $272.75 / $311.00	Professional		$170.18	$272.75	$311.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.34 / $357.08 / $415.72	Professional		$347.34	$357.08	$415.72
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.12 / $260.51	Professional		$217.09	$230.12	$260.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $1,085.45 / $1,085.45	Facility		$288.77	$1,085.45	$1,085.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $948.17 / $948.17 / $948.17	Professional		$948.17	$948.17	$948.17