Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $156.41 / $358.48	Facility		$156.41	$156.41	$358.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $278.76 / $278.76	Professional		$145.88	$278.76	$278.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.02 / $472.23 / $581.57	Facility		$290.02	$472.23	$581.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.64 / $238.76 / $254.68	Professional		$221.64	$238.76	$254.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $367.13	Professional		$129.03	$176.75	$367.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $278.76 / $362.39	Facility		$91.10	$278.76	$362.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.94 / $232.94 / $232.94	Professional		$232.94	$232.94	$232.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $370.80 / $370.80 / $570.20	Professional		$370.80	$370.80	$570.20
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $157.40 / $230.29	Professional		$117.60	$157.40	$230.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $497.42 / $1,474.48 / $1,474.48	Facility		$497.42	$1,474.48	$1,474.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,594.10 / $2,317.73 / $2,317.73	Professional		$1,594.10	$2,317.73	$2,317.73