Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $107.84 / $215.84	Professional		$77.33	$107.84	$215.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $195.13 / $288.47	Professional		$105.01	$195.13	$288.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $143.97 / $250.50	Professional		$98.68	$143.97	$250.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $146.00 / $164.00	Professional		$138.31	$146.00	$164.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $159.60 / $232.38	Professional		$122.32	$159.60	$232.38
United Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $140.75 / $321.44	Professional		$98.56	$140.75	$321.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $626.55 / $917.60 / $1,091.48	Professional		$626.55	$917.60	$1,091.48