Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.98 / $169.98 / $293.24	Facility		$169.98	$169.98	$293.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $169.98 / $169.98	Professional		$82.88	$169.98	$169.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $287.95 / $354.62	Facility		$176.85	$287.95	$354.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $145.59 / $155.30	Professional		$131.03	$145.59	$155.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $107.78 / $107.78	Facility		$45.00	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $107.78 / $223.88	Professional		$45.00	$107.78	$223.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $169.98 / $220.97	Facility		$55.55	$169.98	$220.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $141.00	Professional		$112.00	$112.00	$141.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $347.70 / $371.74	Professional		$226.10	$347.70	$371.74
United Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $85.28 / $99.63	Facility		$66.30	$85.28	$99.63
United Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $95.98 / $140.43	Professional		$71.22	$95.98	$140.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $303.31 / $899.12 / $899.12	Facility		$303.31	$899.12	$899.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $972.15 / $1,413.38 / $1,413.38	Professional		$972.15	$1,413.38	$1,413.38