Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.53 / $192.53 / $390.74	Facility		$192.53	$192.53	$390.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $192.53 / $192.53	Professional		$115.72	$192.53	$192.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.39 / $248.87 / $472.55	Facility		$207.39	$248.87	$472.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $194.01 / $213.41	Professional		$180.09	$194.01	$213.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.01 / $161.63 / $161.63	Facility		$160.01	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $399.75	Professional		$117.99	$161.63	$399.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $192.53 / $304.26	Facility		$83.31	$192.53	$304.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $182.00	Professional		$145.00	$145.00	$182.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $310.39 / $477.30	Professional		$310.39	$310.39	$477.30
United Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $170.54 / $198.86	Facility		$99.43	$170.54	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $129.05 / $198.86	Professional		$107.54	$129.05	$198.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $579.42 / $1,316.67 / $1,316.67	Facility		$579.42	$1,316.67	$1,316.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,707.26 / $1,707.26 / $1,940.10	Professional		$1,707.26	$1,707.26	$1,940.10