Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.99 / $233.99 / $233.99	Facility		$233.99	$233.99	$233.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $233.99 / $233.99	Professional		$113.25	$233.99	$233.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.54 / $340.24 / $488.16	Facility		$283.54	$340.24	$488.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $211.61 / $225.71	Professional		$196.43	$211.61	$225.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $211.82 / $246.38	Professional		$154.63	$211.82	$246.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $233.99 / $280.79	Facility		$69.56	$233.99	$280.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $271.88 / $271.88 / $271.88	Professional		$271.88	$271.88	$271.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.40 / $356.79 / $373.76	Professional		$228.40	$356.79	$373.76
United Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $170.99 / $244.69	Professional		$115.54	$170.99	$244.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $336.94 / $943.35 / $943.35	Facility		$336.94	$943.35	$943.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,441.58 / $1,441.58 / $1,441.58	Professional		$1,441.58	$1,441.58	$1,441.58