Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $354.81	Facility		$154.88	$154.88	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $338.84	Professional		$134.90	$186.21	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $630.96	Facility		$302.00	$467.74	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $257.04	Professional		$239.88	$245.47	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $363.08	Professional		$128.82	$128.82	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $208.93	Professional		$147.91	$158.49	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $467.74	Facility		$104.71	$281.84	$467.74
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 $95.50 / $141.25 / $257.04	Facility		$95.50	$141.25	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $223.87	Professional		$117.49	$154.88	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $2,344.23	Professional		$1,584.89	$2,344.23	$2,344.23