Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.25 / $194.25 / $394.24	Facility		$194.25	$194.25	$394.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $194.25 / $194.25	Professional		$143.41	$194.25	$194.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.76 / $387.15 / $476.78	Facility		$237.76	$387.15	$476.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $195.74 / $195.74	Professional		$148.76	$195.74	$195.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $225.10 / $225.10	Facility		$161.44	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $225.10 / $403.50	Professional		$161.44	$225.10	$403.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $194.25 / $293.91	Facility		$84.06	$194.25	$293.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $184.00	Professional		$147.00	$147.00	$184.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.60 / $417.60 / $642.00	Professional		$417.60	$417.60	$642.00
United Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $172.06 / $200.64	Facility		$100.32	$172.06	$200.64
United Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $130.76 / $204.27	Professional		$108.51	$130.76	$204.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $584.61 / $1,485.33 / $1,485.33	Facility		$584.61	$1,485.33	$1,485.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,670.30 / $1,670.30 / $2,609.85	Professional		$1,670.30	$1,670.30	$2,609.85