Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $193.58 / $333.94	Facility		$193.58	$193.58	$333.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $193.58 / $193.58	Professional		$94.38	$193.58	$193.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.39 / $327.93 / $403.86	Facility		$201.39	$327.93	$403.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $165.80 / $165.80	Professional		$126.01	$165.80	$165.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.75 / $144.01 / $144.01	Facility		$136.75	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.00 / $244.50	Professional		$105.13	$144.00	$244.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $193.58 / $251.65	Facility		$55.85	$193.58	$251.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $150.32	Professional		$124.00	$124.00	$150.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $207.70 / $319.89	Professional		$207.70	$207.70	$319.89
United Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $103.81 / $155.72	Professional		$73.53	$103.81	$155.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $345.42 / $1,098.30 / $1,098.30	Facility		$345.42	$1,098.30	$1,098.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,246.95 / $1,246.95 / $1,300.58	Professional		$1,246.95	$1,246.95	$1,300.58