Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.16 / $213.16 / $432.61	Facility		$213.16	$213.16	$432.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $213.16 / $213.16	Professional		$156.19	$213.16	$213.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.62 / $275.54 / $523.19	Facility		$229.62	$275.54	$523.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $214.80 / $236.28	Professional		$199.39	$214.80	$236.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $177.16	Facility		$170.54	$170.54	$177.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $370.13	Professional		$124.49	$170.54	$370.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $213.16 / $322.52	Facility		$87.90	$213.16	$322.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $201.00	Professional		$161.00	$161.00	$201.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.70 / $436.70 / $671.40	Professional		$436.70	$436.70	$671.40
United Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $142.88 / $209.82	Professional		$109.77	$142.88	$209.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $545.87 / $1,456.51 / $1,456.51	Facility		$545.87	$1,456.51	$1,456.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,746.77 / $1,746.77 / $2,729.33	Professional		$1,746.77	$1,746.77	$2,729.33