Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.17 / $208.17 / $422.48	Facility		$208.17	$208.17	$422.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $208.17 / $208.17	Professional		$141.10	$208.17	$208.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.25 / $269.10 / $510.94	Facility		$224.25	$269.10	$510.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $209.77 / $209.77	Professional		$159.41	$209.77	$209.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $174.77 / $174.77	Facility		$173.01	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $324.38	Professional		$127.58	$174.77	$324.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $208.17 / $318.16	Facility		$90.08	$208.17	$318.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $197.00	Professional		$157.00	$157.00	$197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $335.60 / $516.00	Professional		$335.60	$335.60	$516.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $139.54 / $218.91	Professional		$107.21	$139.54	$218.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $675.48 / $1,771.42 / $1,771.42	Facility		$675.48	$1,771.42	$1,771.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,186.73 / $2,186.73 / $2,186.73	Professional		$2,186.73	$2,186.73	$2,186.73