Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.87 / $227.87 / $393.10	Facility		$227.87	$227.87	$393.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $227.87 / $227.87	Professional		$122.61	$227.87	$227.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.63 / $250.36 / $475.39	Facility		$208.63	$250.36	$475.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $195.17 / $195.17	Professional		$148.33	$195.17	$195.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $160.97	Facility		$159.91	$159.91	$160.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $128.78 / $392.63	Professional		$116.74	$128.78	$392.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $227.87 / $296.23	Facility		$82.43	$227.87	$296.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $146.00 / $176.95	Professional		$146.00	$146.00	$176.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $307.10 / $472.20	Professional		$307.10	$307.10	$472.20
United Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $129.83 / $192.33	Professional		$99.08	$129.83	$192.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $448.52 / $1,620.89 / $1,620.89	Facility		$448.52	$1,620.89	$1,620.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,911.96 / $1,911.96 / $1,919.48	Professional		$1,911.96	$1,911.96	$1,919.48