Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $164.87 / $284.42	Facility		$164.87	$164.87	$284.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $164.87 / $164.87	Professional		$80.39	$164.87	$164.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.54 / $279.29 / $343.95	Facility		$171.54	$279.29	$343.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $141.21 / $141.21	Professional		$107.32	$141.21	$141.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $116.47	Facility		$110.15	$110.15	$116.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $110.15 / $204.38	Professional		$80.41	$110.15	$204.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $164.87 / $221.47	Facility		$56.77	$164.87	$221.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.00 / $128.02	Professional		$106.00	$106.00	$128.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $211.50 / $325.20	Professional		$211.50	$211.50	$325.20
United Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $93.94 / $144.75	Professional		$72.17	$93.94	$144.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $296.04 / $1,023.20 / $1,023.20	Facility		$296.04	$1,023.20	$1,023.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,163.40 / $1,163.40 / $1,322.03	Professional		$1,163.40	$1,163.40	$1,322.03