Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.57 / $239.57 / $413.28	Facility		$239.57	$239.57	$413.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $239.57 / $239.57	Professional		$124.81	$239.57	$239.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.36 / $263.23 / $499.80	Facility		$219.36	$263.23	$499.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $205.20 / $205.20	Professional		$155.94	$205.20	$205.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.24 / $170.96 / $170.96	Facility		$169.24	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $135.38 / $329.25	Professional		$124.80	$135.38	$329.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $239.57 / $321.80	Facility		$88.12	$239.57	$321.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $186.03	Professional		$154.00	$154.00	$186.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $383.10 / $383.10 / $589.10	Professional		$383.10	$383.10	$589.10
United Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $136.49 / $205.61	Professional		$104.87	$136.49	$205.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.92 / $1,732.80 / $1,732.80	Facility		$478.92	$1,732.80	$1,732.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,422.89 / $2,422.89 / $2,422.89	Professional		$2,422.89	$2,422.89	$2,422.89