Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.10 / $122.10 / $451.04	Facility		$122.10	$122.10	$451.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $261.47 / $293.50	Professional		$139.60	$261.47	$293.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.41 / $287.29 / $545.48	Facility		$239.41	$287.29	$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 $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $193.00 / $264.80	Professional		$128.90	$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 $347.80 / $347.80 / $534.79	Professional		$347.80	$347.80	$534.79
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