Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $235.50 / $344.07	Facility		$152.74	$235.50	$344.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $152.74 / $152.74	Professional		$64.95	$152.74	$152.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.51 / $258.74 / $318.64	Facility		$207.51	$258.74	$318.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $138.41 / $147.63	Professional		$128.47	$138.41	$147.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $133.72 / $160.50	Professional		$97.62	$133.72	$160.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $152.74 / $238.11	Facility		$63.06	$152.74	$238.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $137.16	Professional		$127.00	$127.00	$137.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $148.80 / $423.10	Professional		$148.80	$148.80	$423.10
United Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $109.96 / $157.08	Professional		$75.76	$109.96	$157.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $219.47 / $620.42 / $620.42	Facility		$219.47	$620.42	$620.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,067.99 / $1,067.99 / $1,067.99	Professional		$1,067.99	$1,067.99	$1,067.99