Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.42 / $181.42 / $368.21	Facility		$181.42	$181.42	$368.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $181.42 / $181.42	Professional		$117.67	$181.42	$181.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.07 / $361.58 / $445.29	Facility		$222.07	$361.58	$445.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $182.82 / $201.10	Professional		$169.71	$182.82	$201.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.78 / $184.91 / $184.91	Facility		$150.78	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.91 / $304.13	Professional		$134.97	$184.91	$304.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $181.42 / $274.50	Facility		$78.51	$181.42	$274.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $172.00	Professional		$137.00	$137.00	$172.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $292.50 / $449.80	Professional		$292.50	$292.50	$449.80
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $121.61 / $187.40	Professional		$101.34	$121.61	$187.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $487.52 / $1,456.68 / $1,456.68	Facility		$487.52	$1,456.68	$1,456.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,472.02 / $1,472.02 / $1,828.20	Professional		$1,472.02	$1,472.02	$1,828.20