Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $208.93	Professional		$83.18	$114.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $354.81 / $478.63	Facility		$223.87	$354.81	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $204.17	Professional		$181.97	$181.97	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $117.49 / $117.49	Facility		$107.15	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $186.21	Professional		$85.11	$85.11	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $120.23	Professional		$97.72	$107.15	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $208.93 / $316.23	Facility		$81.28	$208.93	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $190.55	Facility		$60.26	$89.13	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $169.82	Professional		$79.43	$114.82	$169.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Professional		$1,148.15	$1,148.15	$1,348.96