Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.75 / $161.75 / $328.27	Facility		$161.75	$161.75	$328.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $161.75 / $161.75	Professional		$97.22	$161.75	$161.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $322.36 / $397.00	Facility		$197.98	$322.36	$397.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $162.99 / $173.86	Professional		$151.30	$162.99	$173.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $250.50	Professional		$145.90	$171.65	$250.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $161.75 / $217.32	Facility		$141.47	$161.75	$217.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $163.16 / $163.16	Professional		$163.16	$163.16	$163.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $253.20 / $389.30	Professional		$253.20	$253.20	$389.30
United Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $108.42 / $170.10	Professional		$89.83	$108.42	$170.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $363.15 / $1,006.76 / $1,006.76	Facility		$363.15	$1,006.76	$1,006.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,090.36 / $1,582.20 / $1,582.20	Professional		$1,090.36	$1,582.20	$1,582.20