Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.31 / $179.31 / $309.33	Facility		$179.31	$179.31	$309.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $179.31 / $179.31	Professional		$89.47	$179.31	$179.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.57 / $303.76 / $374.09	Facility		$186.57	$303.76	$374.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $153.58 / $153.59	Professional		$142.57	$153.58	$153.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.51 / $266.63	Professional		$85.05	$116.51	$266.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $179.31 / $246.00	Facility		$60.05	$179.31	$246.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $149.86 / $149.86	Professional		$149.86	$149.86	$149.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.70 / $223.70 / $344.00	Professional		$223.70	$223.70	$344.00
United Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $92.18 / $105.48	Facility		$71.67	$92.18	$105.48
United Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $101.25 / $148.13	Professional		$71.67	$101.25	$148.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $319.97 / $1,180.80 / $1,180.80	Facility		$319.97	$1,180.80	$1,180.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,203.17 / $1,398.30 / $1,398.30	Professional		$1,203.17	$1,398.30	$1,398.30