Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.38 / $412.12 / $992.26	Facility		$218.38	$412.12	$992.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $218.38 / $218.38	Professional		$145.58	$218.38	$218.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.42 / $598.42 / $598.42	Facility		$598.42	$598.42	$598.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.82 / $179.72 / $239.62	Professional		$166.82	$179.72	$239.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $607.88	Professional		$347.71	$409.07	$607.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $262.06 / $572.24	Facility		$186.27	$262.06	$572.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $369.00 / $369.00	Professional		$369.00	$369.00	$369.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.90 / $363.90 / $1,142.30	Professional		$363.90	$363.90	$1,142.30
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $259.85 / $462.73	Professional		$151.87	$259.85	$462.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $514.08 / $1,467.61 / $1,467.61	Facility		$514.08	$1,467.61	$1,467.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,871.49 / $1,871.49 / $2,262.98	Professional		$1,871.49	$1,871.49	$2,262.98