Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.49 / $235.49 / $406.24	Facility		$235.49	$235.49	$406.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $235.49 / $235.49	Professional		$97.31	$235.49	$235.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.98 / $398.93 / $491.29	Facility		$244.98	$398.93	$491.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $201.70 / $201.70	Professional		$153.29	$201.70	$201.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $166.36	Facility		$136.19	$136.19	$166.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $244.13	Professional		$99.43	$136.19	$244.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $234.28 / $306.14	Facility		$64.95	$234.28	$306.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $182.86	Professional		$151.00	$151.00	$182.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $242.00 / $372.10	Professional		$242.00	$242.00	$372.10
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $127.67 / $189.43	Professional		$89.44	$127.67	$189.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $420.21 / $1,234.72 / $1,234.72	Facility		$420.21	$1,234.72	$1,234.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,247.71 / $1,247.71 / $1,512.75	Professional		$1,247.71	$1,247.71	$1,512.75