Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $183.76 / $317.00	Facility		$183.76	$183.76	$317.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $183.76 / $183.76	Professional		$89.59	$183.76	$183.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.17 / $311.30 / $383.37	Facility		$191.17	$311.30	$383.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $157.40 / $167.89	Professional		$146.10	$157.40	$167.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $302.33	Professional		$107.35	$107.35	$302.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $183.76 / $238.89	Facility		$60.43	$183.76	$238.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $142.69	Professional		$118.00	$118.00	$142.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $248.60 / $382.30	Professional		$248.60	$248.60	$382.30
United Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $103.92 / $151.81	Professional		$78.01	$103.92	$151.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $327.90 / $981.02 / $981.02	Facility		$327.90	$981.02	$981.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,050.93 / $1,050.93 / $1,554.00	Professional		$1,050.93	$1,050.93	$1,554.00