Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $234.42	Professional		$131.83	$204.17	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $457.09 / $616.60	Facility		$288.40	$457.09	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $257.04	Professional		$229.09	$234.42	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $263.03 / $263.03	Facility		$66.07	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Professional		$194.98	$194.98	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $208.93	Professional		$169.82	$181.97	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $257.04 / $446.68	Facility		$134.90	$257.04	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $245.47	Facility		$128.82	$229.09	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $234.42	Professional		$128.82	$154.88	$234.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,818.38	Professional		$1,862.09	$1,862.09	$2,818.38