Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $170.18 / $293.58	Facility		$170.18	$170.18	$293.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $170.18 / $170.18	Professional		$82.98	$170.18	$170.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $186.97 / $355.03	Facility		$155.81	$186.97	$355.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $145.77 / $145.77	Professional		$110.79	$145.77	$145.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $120.23	Facility		$119.29	$119.29	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $96.18 / $295.13	Professional		$87.08	$96.18	$295.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $170.18 / $221.23	Facility		$61.48	$170.18	$221.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $132.15	Professional		$109.00	$109.00	$132.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.10 / $229.10 / $352.20	Professional		$229.10	$229.10	$352.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $96.96 / $149.41	Professional		$74.00	$96.96	$149.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $333.43 / $986.48 / $986.48	Facility		$333.43	$986.48	$986.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,145.39 / $1,145.39 / $1,431.75	Professional		$1,145.39	$1,145.39	$1,431.75