Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $231.78 / $399.85	Facility		$231.78	$231.78	$399.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $231.78 / $231.78	Professional		$113.01	$231.78	$231.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.23 / $254.68 / $483.55	Facility		$212.23	$254.68	$483.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $198.52 / $198.53	Professional		$184.28	$198.52	$198.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.74 / $165.40 / $165.40	Facility		$163.74	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $334.88	Professional		$120.74	$165.40	$334.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $231.78 / $301.31	Facility		$85.25	$231.78	$301.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $149.00 / $179.98	Professional		$149.00	$149.00	$179.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.90 / $413.90 / $636.40	Professional		$413.90	$413.90	$636.40
United Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $132.05 / $202.08	Professional		$101.46	$132.05	$202.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $517.40 / $1,676.42 / $1,676.42	Facility		$517.40	$1,676.42	$1,676.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,270.75 / $2,270.75 / $2,586.98	Professional		$2,270.75	$2,270.75	$2,586.98