Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.41 / $169.41 / $292.25	Facility		$169.41	$169.41	$292.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $169.41 / $169.41	Professional		$76.87	$169.41	$169.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.12 / $186.14 / $353.43	Facility		$155.12	$186.14	$353.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $145.10 / $154.78	Professional		$130.59	$145.10	$154.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $223.13	Professional		$78.42	$107.42	$223.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $169.41 / $220.23	Facility		$55.36	$169.41	$220.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $131.56	Professional		$108.00	$108.00	$131.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $225.40 / $346.50	Professional		$225.40	$225.40	$346.50
United Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $85.00 / $91.26	Facility		$66.08	$85.00	$91.26
United Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $95.66 / $148.74	Professional		$73.66	$95.66	$148.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $302.30 / $899.40 / $899.40	Facility		$302.30	$899.40	$899.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $968.61 / $968.61 / $1,408.65	Professional		$968.61	$968.61	$1,408.65