Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $467.74 / $501.19	Facility		$120.23	$467.74	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $151.36	Professional		$100.00	$120.23	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $467.74	Facility		$295.12	$457.09	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $269.15	Professional		$100.00	$134.90	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $239.88 / $398.11	Facility		$102.33	$239.88	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $218.78	Facility		$107.15	$134.90	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $288.40	Professional		$165.96	$194.98	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $165.96	Professional		$63.10	$89.13	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,122.02	Professional		$758.58	$758.58	$1,122.02