Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $172.27 / $349.64	Facility		$172.27	$172.27	$349.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $172.27 / $172.27	Professional		$105.17	$172.27	$172.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.59 / $222.71 / $422.83	Facility		$185.59	$222.71	$422.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $173.59 / $173.59	Professional		$131.93	$173.59	$173.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.19 / $159.22 / $159.22	Facility		$143.19	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $159.22 / $285.38	Professional		$116.23	$159.22	$285.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $172.27 / $272.26	Facility		$72.11	$172.27	$272.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $163.00	Professional		$130.00	$130.00	$163.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.10 / $268.10 / $413.10	Professional		$268.10	$268.10	$413.10
United Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $115.97 / $176.85	Professional		$93.08	$115.97	$176.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $423.88 / $1,240.94 / $1,240.94	Facility		$423.88	$1,240.94	$1,240.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,477.62 / $1,477.62 / $1,679.10	Professional		$1,477.62	$1,477.62	$1,679.10