Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.31 / $249.31 / $489.84	Facility		$249.31	$249.31	$489.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $249.31 / $249.31	Professional		$130.06	$249.31	$249.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.98 / $311.98 / $520.12	Facility		$259.98	$311.98	$520.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $213.44 / $227.66	Professional		$198.12	$213.44	$227.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.60 / $214.95 / $214.95	Facility		$200.60	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $256.13	Professional		$156.91	$214.95	$256.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $249.31 / $349.51	Facility		$104.44	$249.31	$349.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $182.00 / $220.49	Professional		$182.00	$182.00	$220.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.84 / $314.38 / $421.96	Professional		$250.84	$314.38	$421.96
United Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $161.78 / $253.08	Professional		$124.29	$161.78	$253.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $380.42 / $1,096.95 / $1,096.95	Facility		$380.42	$1,096.95	$1,096.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,717.79 / $1,717.79 / $1,717.79	Professional		$1,717.79	$1,717.79	$1,717.79