Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $870.96 / $912.01	Facility		$218.78	$870.96	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $275.42	Professional		$173.78	$218.78	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $870.96	Facility		$467.74	$616.60	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $588.84	Professional		$208.93	$269.15	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $436.52 / $724.44	Facility		$177.83	$436.52	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $380.19	Facility		$177.83	$245.47	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $467.74	Professional		$416.87	$416.87	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $288.40 / $302.00	Facility		$147.91	$288.40	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $281.84	Professional		$114.82	$147.91	$281.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,041.74	Professional		$1,380.38	$1,380.38	$2,041.74