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 / $173.78 / $229.09	Professional		$131.83	$173.78	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $616.60	Facility		$251.19	$302.00	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $251.19	Professional		$229.09	$234.42	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $169.82	Facility		$66.07	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $354.81	Professional		$144.54	$144.54	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $199.53	Professional		$141.25	$154.88	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $436.52	Facility		$128.82	$245.47	$436.52
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 $131.83 / $204.17 / $245.47	Facility		$131.83	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $213.80	Professional		$120.23	$151.36	$213.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,238.72	Professional		$1,548.82	$1,548.82	$2,238.72