Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.29 / $202.29 / $202.29	Facility		$202.29	$202.29	$202.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $202.29 / $213.23	Professional		$142.79	$202.29	$213.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.69 / $409.86 / $432.85	Facility		$342.69	$409.86	$432.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.84 / $173.27 / $184.82	Professional		$160.84	$173.27	$184.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.21 / $202.29 / $339.53	Facility		$156.21	$202.29	$339.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $156.21 / $395.71	Professional		$156.21	$156.21	$395.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.61 / $254.49 / $395.35	Professional		$225.61	$254.49	$395.35
United Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $111.17 / $180.82	Professional		$87.35	$111.17	$180.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $388.11 / $468.97 / $1,097.34	Facility		$388.11	$468.97	$1,097.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,602.29 / $1,602.29 / $1,732.65	Professional		$1,602.29	$1,602.29	$1,732.65