Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.42 / $212.42 / $543.00	Facility		$191.42	$212.42	$543.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $216.90 / $258.89	Professional		$191.42	$216.90	$258.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.15 / $353.73 / $441.66	Facility		$223.15	$353.73	$441.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $229.01 / $286.26	Professional		$229.01	$229.01	$286.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $216.90 / $216.90	Facility		$204.63	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $254.90	Professional		$216.90	$216.90	$254.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.69 / $191.42 / $274.89	Facility		$165.69	$191.42	$274.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $262.10 / $308.00	Professional		$165.69	$262.10	$308.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.04 / $356.78 / $415.37	Professional		$347.04	$356.78	$415.37
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $229.91 / $286.31	Professional		$216.90	$229.91	$286.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $288.51 / $1,084.50 / $1,084.50	Facility		$288.51	$1,084.50	$1,084.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $936.51 / $936.51 / $936.51	Professional		$936.51	$936.51	$936.51