Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $149.60 / $303.63	Facility		$149.60	$149.60	$303.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $149.60 / $149.60	Professional		$96.88	$149.60	$149.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $193.39 / $367.18	Facility		$161.16	$193.39	$367.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $150.74 / $150.74	Professional		$114.56	$150.74	$150.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $124.34	Facility		$122.31	$122.31	$124.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $226.88	Professional		$89.29	$122.31	$226.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $149.60 / $236.43	Facility		$63.04	$149.60	$236.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $142.00	Professional		$113.00	$113.00	$142.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $273.20 / $420.00	Professional		$273.20	$273.20	$420.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $100.28 / $150.47	Professional		$81.38	$100.28	$150.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $370.59 / $1,239.66 / $1,239.66	Facility		$370.59	$1,239.66	$1,239.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,291.84 / $1,291.84 / $1,707.45	Professional		$1,291.84	$1,291.84	$1,707.45