Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $338.84 / $354.81	Facility		$85.11	$338.84	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $102.33	Professional		$70.79	$85.11	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $331.13	Facility		$208.93	$323.59	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $190.55	Professional		$91.20	$100.00	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $281.84	Facility		$81.28	$169.82	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $154.88	Facility		$77.62	$95.50	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $181.97	Professional		$162.18	$162.18	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $131.83	Facility		$64.57	$125.89	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $117.49	Professional		$44.67	$64.57	$117.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $794.33	Professional		$537.03	$537.03	$794.33