Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $181.97	Professional		$89.13	$117.49	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $416.87	Facility		$199.53	$316.23	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $173.78	Professional		$158.49	$162.18	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $147.91 / $147.91	Facility		$87.10	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $154.88	Professional		$109.65	$109.65	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $138.04	Professional		$97.72	$104.71	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $186.21 / $309.03	Facility		$89.13	$186.21	$309.03
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 $63.10 / $93.33 / $169.82	Facility		$63.10	$93.33	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $147.91	Professional		$77.62	$102.33	$147.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $1,548.82	Professional		$1,047.13	$1,548.82	$1,548.82