Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.86 / $183.86 / $317.18	Facility		$183.86	$183.86	$317.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $183.86 / $183.86	Professional		$89.64	$183.86	$183.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.35 / $202.02 / $383.58	Facility		$168.35	$202.02	$383.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $157.47 / $157.47	Professional		$119.68	$157.47	$157.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $139.66 / $139.66	Facility		$129.88	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $250.13	Professional		$101.95	$139.66	$250.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $183.86 / $246.97	Facility		$67.63	$183.86	$246.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $142.77	Professional		$118.00	$118.00	$142.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $387.40	Professional		$252.00	$252.00	$387.40
United Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $104.75 / $157.80	Professional		$80.48	$104.75	$157.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $352.73 / $1,329.81 / $1,329.81	Facility		$352.73	$1,329.81	$1,329.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,394.20 / $1,394.20 / $1,574.78	Professional		$1,394.20	$1,394.20	$1,574.78