Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $210.32 / $362.81	Facility		$210.32	$210.32	$362.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $210.32 / $210.32	Professional		$86.76	$210.32	$210.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.81 / $356.28 / $438.77	Facility		$218.81	$356.28	$438.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $180.14 / $180.14	Professional		$136.91	$180.14	$180.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $116.53 / $208.88	Professional		$85.07	$116.53	$208.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $210.32 / $273.42	Facility		$58.02	$210.32	$273.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $163.31	Professional		$135.00	$135.00	$163.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $332.40 / $411.04	Professional		$216.00	$332.40	$411.04
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $114.02 / $187.99	Professional		$79.89	$114.02	$187.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $365.68 / $947.19 / $947.19	Facility		$365.68	$947.19	$947.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,138.23 / $1,138.23 / $1,351.05	Professional		$1,138.23	$1,138.23	$1,351.05