Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.40 / $240.40 / $2,942.03	Facility		$240.40	$240.40	$2,942.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $240.40 / $257.57	Professional		$240.40	$240.40	$257.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.79 / $460.79 / $567.47	Facility		$460.79	$460.79	$567.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $168.49 / $185.34	Professional		$156.40	$168.49	$185.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $245.30 / $245.30	Facility		$231.42	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $323.08	Professional		$245.30	$245.30	$323.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.40 / $280.82 / $357.97	Facility		$240.40	$280.82	$357.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.82 / $280.82 / $311.02	Professional		$280.82	$280.82	$311.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $340.30 / $340.30 / $503.40	Professional		$340.30	$340.30	$503.40
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $318.89	Professional		$245.30	$245.30	$318.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $326.30 / $351.10 / $1,071.67	Facility		$326.30	$351.10	$1,071.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.67 / $1,071.67 / $1,071.67	Professional		$1,071.67	$1,071.67	$1,071.67