Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.48 / $256.48 / $442.42	Facility		$256.48	$256.48	$442.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $256.48 / $256.48	Professional		$139.26	$256.48	$256.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.83 / $281.80 / $535.07	Facility		$234.83	$281.80	$535.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $219.68 / $219.68	Professional		$203.92	$219.68	$219.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $181.86 / $373.50	Professional		$132.76	$181.86	$373.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $256.48 / $333.42	Facility		$93.74	$256.48	$333.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $205.49 / $205.49	Professional		$205.49	$205.49	$205.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $349.20 / $537.00	Professional		$349.20	$349.20	$537.00
United Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $143.90 / $189.98	Facility		$111.88	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $146.12 / $218.72	Professional		$111.52	$146.12	$218.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $1,843.29 / $1,843.29	Facility		$496.74	$1,843.29	$1,843.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,027.07 / $2,182.80 / $2,182.80	Professional		$2,027.07	$2,182.80	$2,182.80