Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $158.88 / $322.45	Facility		$158.88	$158.88	$322.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.88 / $158.88	Professional		$95.50	$158.88	$158.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.14 / $205.37 / $389.98	Facility		$171.14	$205.37	$389.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $160.10 / $160.10	Professional		$121.68	$160.10	$160.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.06 / $172.35 / $172.35	Facility		$132.06	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $309.00	Professional		$125.82	$172.35	$309.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $158.88 / $242.74	Facility		$64.36	$158.88	$242.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $150.00	Professional		$120.00	$120.00	$150.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $238.90 / $368.70	Professional		$238.90	$238.90	$368.70
United Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $131.74 / $153.62	Facility		$76.81	$131.74	$153.62
United Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $106.50 / $154.43	Professional		$83.08	$106.50	$154.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $452.71 / $1,265.58 / $1,265.58	Facility		$452.71	$1,265.58	$1,265.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,465.43 / $1,465.43 / $1,498.73	Professional		$1,465.43	$1,465.43	$1,498.73