Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $145.66 / $295.58	Facility		$145.66	$145.66	$295.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $145.66 / $145.66	Professional		$87.55	$145.66	$145.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.27 / $290.31 / $357.52	Facility		$178.27	$290.31	$357.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $146.78 / $156.57	Professional		$136.25	$146.78	$156.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $225.75	Professional		$57.58	$67.73	$225.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $145.66 / $217.64	Facility		$56.03	$145.66	$217.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $137.30 / $137.30	Professional		$137.30	$137.30	$137.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $350.60	Professional		$228.00	$228.00	$350.60
United Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $97.63 / $141.57	Professional		$75.01	$97.63	$141.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $327.06 / $902.60 / $902.60	Facility		$327.06	$902.60	$902.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $981.91 / $1,425.15 / $1,425.15	Professional		$981.91	$1,425.15	$1,425.15