Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $186.23 / $321.26	Facility		$186.23	$186.23	$321.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $186.23 / $186.23	Professional		$94.35	$186.23	$186.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $315.49 / $388.53	Facility		$193.76	$315.49	$388.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $159.51 / $170.14	Professional		$143.56	$159.51	$170.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $150.11 / $150.11	Facility		$131.56	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $328.88	Professional		$109.58	$150.11	$328.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $186.23 / $242.10	Facility		$68.50	$186.23	$242.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $150.00	Professional		$120.00	$120.00	$150.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $229.69 / $356.74	Professional		$207.70	$229.69	$356.74
United Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $106.10 / $162.38	Professional		$80.98	$106.10	$162.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $371.49 / $1,107.57 / $1,107.57	Facility		$371.49	$1,107.57	$1,107.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,403.72 / $1,403.72 / $1,595.10	Professional		$1,403.72	$1,403.72	$1,595.10