Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.59 / $214.59 / $370.18	Facility		$214.59	$214.59	$370.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $214.59 / $214.59	Professional		$98.78	$214.59	$214.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.48 / $235.78 / $447.69	Facility		$196.48	$235.78	$447.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.42 / $183.80 / $196.06	Professional		$165.42	$183.80	$196.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $151.59	Facility		$126.23	$126.23	$151.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $213.38	Professional		$92.15	$126.23	$213.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $213.49 / $278.97	Facility		$59.20	$213.49	$278.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $166.63	Professional		$138.00	$138.00	$166.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $403.11 / $452.20	Professional		$293.70	$403.11	$452.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $116.35 / $172.63	Professional		$81.51	$116.35	$172.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $373.34 / $1,009.99 / $1,009.99	Facility		$373.34	$1,009.99	$1,009.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,176.33 / $1,176.33 / $1,838.03	Professional		$1,176.33	$1,176.33	$1,838.03