Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $309.03	Professional		$151.36	$223.87	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $354.81 / $707.95	Facility		$295.12	$354.81	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $245.47	Facility		$158.49	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Professional		$177.83	$177.83	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $245.47	Professional		$194.98	$208.93	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $309.03 / $524.81	Facility		$151.36	$309.03	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $281.84	Facility		$120.23	$177.83	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $269.15	Professional		$138.04	$177.83	$269.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,691.53	Professional		$2,344.23	$2,344.23	$2,691.53