Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $189.89 / $327.57	Facility		$189.89	$189.89	$327.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $189.89 / $189.89	Professional		$97.86	$189.89	$189.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.57 / $321.68 / $396.16	Facility		$197.57	$321.68	$396.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $162.65 / $162.65	Professional		$123.61	$162.65	$162.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.15 / $135.51 / $135.51	Facility		$134.15	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $262.88	Professional		$98.92	$135.51	$262.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $189.89 / $246.86	Facility		$69.84	$189.89	$246.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $147.44	Professional		$122.00	$122.00	$147.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $260.10 / $260.10 / $400.10	Professional		$260.10	$260.10	$400.10
United Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $108.19 / $164.15	Professional		$83.12	$108.19	$164.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $370.44 / $1,373.46 / $1,373.46	Facility		$370.44	$1,373.46	$1,373.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,858.49 / $2,858.49 / $2,858.49	Professional		$2,858.49	$2,858.49	$2,858.49