Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.82 / $168.82 / $291.23	Facility		$168.82	$168.82	$291.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $168.82 / $168.82	Professional		$78.91	$168.82	$168.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.58 / $185.49 / $352.21	Facility		$154.58	$185.49	$352.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $144.60 / $154.24	Professional		$130.13	$144.60	$154.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $138.33 / $138.33	Facility		$119.26	$138.33	$138.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $100.98 / $252.38	Professional		$95.41	$100.98	$252.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $168.82 / $226.78	Facility		$62.10	$168.82	$226.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $131.09	Professional		$108.00	$108.00	$131.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $231.40 / $355.70	Professional		$231.40	$231.40	$355.70
United Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $96.19 / $150.90	Professional		$73.90	$96.19	$150.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $969.09 / $969.09	Facility		$310.61	$969.09	$969.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,272.50 / $1,272.50 / $1,446.00	Professional		$1,272.50	$1,272.50	$1,446.00