Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.06 / $162.06 / $328.90	Facility		$162.06	$162.06	$328.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $162.06 / $162.06	Professional		$97.41	$162.06	$162.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.35 / $322.99 / $397.77	Facility		$198.35	$322.99	$397.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $163.30 / $163.31	Professional		$151.59	$163.30	$163.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $140.85 / $140.85	Facility		$134.69	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $107.75 / $252.38	Professional		$102.82	$107.75	$252.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $162.06 / $256.11	Facility		$70.13	$162.06	$256.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $153.00	Professional		$122.00	$122.00	$153.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.30 / $261.30 / $401.70	Professional		$261.30	$261.30	$401.70
United Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $108.63 / $170.42	Professional		$90.53	$108.63	$170.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $479.18 / $1,379.02 / $1,379.02	Facility		$479.18	$1,379.02	$1,379.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,551.24 / $1,551.24 / $1,633.05	Professional		$1,551.24	$1,551.24	$1,633.05