Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $197.75 / $341.14	Facility		$197.75	$197.75	$341.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $197.75 / $197.75	Professional		$96.42	$197.75	$197.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.08 / $217.30 / $412.55	Facility		$181.08	$217.30	$412.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $169.38 / $169.38	Professional		$128.72	$169.38	$169.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $141.12 / $141.12	Facility		$139.69	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $111.76 / $261.75	Professional		$103.02	$111.76	$261.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $197.75 / $257.08	Facility		$72.73	$197.75	$257.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $153.56	Professional		$127.00	$127.00	$153.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $359.50 / $555.60	Professional		$359.50	$359.50	$555.60
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $112.67 / $169.72	Professional		$86.56	$112.67	$169.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $451.67 / $1,430.27 / $1,430.27	Facility		$451.67	$1,430.27	$1,430.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,462.48 / $3,462.48 / $3,462.48	Professional		$3,462.48	$3,462.48	$3,462.48