Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.67 / $203.67 / $413.34	Facility		$203.67	$203.67	$413.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $203.67 / $203.67	Professional		$133.90	$203.67	$203.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.38 / $263.26 / $499.88	Facility		$219.38	$263.26	$499.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.71 / $205.23 / $218.91	Professional		$184.71	$205.23	$218.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.87 / $170.64 / $170.64	Facility		$121.87	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $316.50	Professional		$124.57	$170.64	$316.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $203.67 / $305.12	Facility		$77.55	$203.67	$305.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $192.00	Professional		$154.00	$154.00	$192.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $345.40 / $531.10	Professional		$345.40	$345.40	$531.10
United Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $137.10 / $215.96	Professional		$104.89	$137.10	$215.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $458.54 / $1,269.54 / $1,269.54	Facility		$458.54	$1,269.54	$1,269.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,431.39 / $1,431.39 / $2,158.80	Professional		$1,431.39	$1,431.39	$2,158.80