Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.40 / $241.40 / $416.41	Facility		$241.40	$241.40	$416.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $241.40 / $241.40	Professional		$121.03	$241.40	$241.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.13 / $408.94 / $503.62	Facility		$251.13	$408.94	$503.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $206.76 / $220.54	Professional		$186.08	$206.76	$220.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $190.78 / $190.78	Facility		$170.52	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $344.63	Professional		$139.27	$190.78	$344.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $241.40 / $313.82	Facility		$84.01	$241.40	$313.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $187.44	Professional		$155.00	$155.00	$187.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $313.00 / $481.20	Professional		$313.00	$313.00	$481.20
United Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $137.54 / $199.13	Professional		$104.96	$137.54	$199.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $433.94 / $1,445.66 / $1,445.66	Facility		$433.94	$1,445.66	$1,445.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,463.77 / $1,463.77 / $1,956.30	Professional		$1,463.77	$1,463.77	$1,956.30