Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.47 / $417.92 / $453.39	Facility		$261.47	$417.92	$453.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $261.47 / $287.61	Professional		$141.80	$261.47	$287.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.02 / $442.93 / $545.48	Facility		$272.02	$442.93	$545.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.89 / $223.96 / $238.89	Professional		$207.89	$223.96	$238.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $193.00 / $264.80	Professional		$127.75	$193.00	$264.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $261.47 / $339.91	Facility		$85.45	$261.47	$339.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.49 / $218.49 / $218.49	Professional		$218.49	$218.49	$218.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.61 / $322.50 / $500.85	Professional		$291.61	$322.50	$500.85
United Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $147.63 / $216.00	Professional		$109.55	$147.63	$216.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $466.58 / $1,382.94 / $1,382.94	Facility		$466.58	$1,382.94	$1,382.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,495.20 / $2,173.94 / $2,173.94	Professional		$1,495.20	$2,173.94	$2,173.94