Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.34 / $157.34 / $319.33	Facility		$157.34	$157.34	$319.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $157.34 / $157.34	Professional		$107.00	$157.34	$157.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.49 / $203.39 / $386.19	Facility		$169.49	$203.39	$386.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $158.55 / $158.55	Professional		$120.50	$158.55	$158.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.76 / $166.47 / $166.47	Facility		$130.76	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $289.13	Professional		$121.52	$166.47	$289.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $157.34 / $248.66	Facility		$68.09	$157.34	$248.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $149.00	Professional		$119.00	$119.00	$149.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $291.00 / $447.50	Professional		$291.00	$291.00	$447.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $105.47 / $162.52	Professional		$87.89	$105.47	$162.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $418.77 / $1,338.88 / $1,338.88	Facility		$418.77	$1,338.88	$1,338.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,354.14 / $1,354.14 / $1,819.05	Professional		$1,354.14	$1,354.14	$1,819.05