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 / $182.82	Professional		$169.71	$182.82	$182.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $159.21 / $304.13	Professional		$116.22	$159.21	$304.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $181.42 / $292.80	Facility		$78.51	$181.42	$292.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.37 / $178.37 / $178.37	Professional		$178.37	$178.37	$178.37
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 $93.43 / $122.12 / $190.78	Professional		$93.43	$122.12	$190.78
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 / $1,828.20 / $1,828.20	Professional		$1,472.02	$1,828.20	$1,828.20