Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.37 / $839.52 / $5,437.55	Facility		$150.37	$839.52	$5,437.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $151.16 / $167.94	Professional		$150.37	$151.16	$167.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.81 / $391.39 / $470.23	Facility		$317.81	$391.39	$470.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $109.85 / $120.84	Professional		$101.97	$109.85	$120.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $151.16 / $151.16	Facility		$142.61	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $400.80	Professional		$151.16	$151.16	$400.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.37 / $159.86 / $440.88	Facility		$150.37	$159.86	$440.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $159.86 / $201.28	Professional		$159.86	$159.86	$201.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $211.50 / $347.20	Professional		$211.50	$211.50	$347.20
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $196.52	Professional		$151.16	$151.16	$196.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $340.68 / $340.68 / $699.05	Facility		$340.68	$340.68	$699.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $699.05 / $699.05 / $699.05	Professional		$699.05	$699.05	$699.05