Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $281.84	Professional		$138.04	$204.17	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $323.59 / $645.65	Facility		$269.15	$323.59	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Professional		$245.47	$245.47	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $269.15	Facility		$144.54	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $288.40	Professional		$194.98	$194.98	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $213.80	Professional		$151.36	$162.18	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $281.84 / $489.78	Facility		$138.04	$281.84	$489.78
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 $109.65 / $162.18 / $257.04	Facility		$109.65	$162.18	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $245.47	Professional		$123.03	$162.18	$245.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,951.21	Professional		$2,511.89	$2,511.89	$2,951.21