Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $204.17	Professional		$123.03	$147.91	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Facility		$186.21	$186.21	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $436.52	Professional		$147.91	$245.47	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $323.59	Facility		$117.49	$181.97	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $295.12	Professional		$199.53	$213.80	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $223.87	Facility		$70.79	$117.49	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $380.19	Professional		$154.88	$208.93	$380.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,348.96	Professional		$1,023.29	$1,023.29	$1,348.96