Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $346.74	Facility		$125.89	$125.89	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $154.88	Professional		$104.71	$125.89	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $501.19	Facility		$263.03	$346.74	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $363.08	Professional		$131.83	$158.49	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $251.19 / $407.38	Facility		$120.23	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $218.78	Facility		$102.33	$138.04	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $263.03	Professional		$239.88	$239.88	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $186.21 / $190.55	Facility		$93.33	$186.21	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $173.78	Professional		$66.07	$93.33	$173.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,174.90	Professional		$776.25	$776.25	$1,174.90