Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $270.99 / $676.64	Facility		$107.92	$270.99	$676.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $270.99 / $270.99	Professional		$126.67	$270.99	$270.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.94 / $459.06 / $565.35	Facility		$281.94	$459.06	$565.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $232.11 / $247.58	Professional		$208.90	$232.11	$247.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.44 / $216.42 / $216.42	Facility		$191.44	$216.42	$216.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $388.88	Professional		$157.99	$216.42	$388.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $270.99 / $352.29	Facility		$99.68	$270.99	$352.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $210.43	Professional		$174.00	$174.00	$210.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $509.06 / $571.00	Professional		$371.40	$509.06	$571.00
United Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $153.02 / $164.30	Facility		$118.96	$153.02	$164.30
United Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $154.40 / $234.25	Professional		$117.83	$154.40	$234.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $1,960.04 / $1,960.04	Facility		$516.66	$1,960.04	$1,960.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,216.79 / $2,216.79 / $2,321.10	Professional		$2,216.79	$2,216.79	$2,321.10