Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $109.00 / $367.93	Facility		$109.00	$109.00	$367.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $213.30 / $224.82	Professional		$113.04	$213.30	$224.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.89 / $361.34 / $445.00	Facility		$221.89	$361.34	$445.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.59 / $182.70 / $194.88	Professional		$169.59	$182.70	$194.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $156.86 / $215.21	Professional		$98.72	$156.86	$215.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $213.30 / $292.58	Facility		$69.70	$213.30	$292.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $178.24 / $178.24	Professional		$178.24	$178.24	$178.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $283.70 / $436.20	Professional		$283.70	$283.70	$436.20
United Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $120.44 / $190.65	Professional		$89.36	$120.44	$190.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $380.62 / $1,128.10 / $1,128.10	Facility		$380.62	$1,128.10	$1,128.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,219.95 / $1,773.15 / $1,773.15	Professional		$1,219.95	$1,773.15	$1,773.15