Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.82 / $184.82 / $318.81	Facility		$184.82	$184.82	$318.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $184.82 / $184.82	Professional		$96.72	$184.82	$184.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.27 / $313.08 / $385.57	Facility		$192.27	$313.08	$385.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $158.30 / $168.86	Professional		$142.47	$158.30	$168.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $140.54 / $140.54	Facility		$125.00	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.59 / $243.38	Professional		$100.00	$102.59	$243.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $184.82 / $240.27	Facility		$60.40	$184.82	$240.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $143.51	Professional		$122.00	$122.00	$143.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.90 / $245.90 / $378.10	Professional		$245.90	$245.90	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $104.36 / $148.66	Professional		$77.44	$104.36	$148.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $329.79 / $977.65 / $977.65	Facility		$329.79	$977.65	$977.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,056.91 / $1,537.05 / $1,537.05	Professional		$1,056.91	$1,537.05	$1,537.05