Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.57 / $167.57 / $340.07	Facility		$167.57	$167.57	$340.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $167.57 / $167.57	Professional		$106.50	$167.57	$167.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $216.60 / $411.29	Facility		$180.50	$216.60	$411.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.33 / $168.86 / $168.86	Professional		$128.33	$168.86	$168.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.26 / $194.51 / $194.51	Facility		$139.26	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $194.51 / $317.63	Professional		$139.26	$194.51	$317.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $167.57 / $264.81	Facility		$72.51	$167.57	$264.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $158.00	Professional		$127.00	$127.00	$158.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.10 / $359.10 / $553.79	Professional		$359.10	$359.10	$553.79
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $112.32 / $176.21	Professional		$93.60	$112.32	$176.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $521.72 / $1,425.86 / $1,425.86	Facility		$521.72	$1,425.86	$1,425.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,688.85 / $1,688.85 / $2,251.35	Professional		$1,688.85	$1,688.85	$2,251.35