Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $116.67 / $116.67	Facility		$116.67	$116.67	$116.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $116.67 / $140.65	Professional		$108.50	$116.67	$140.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $94.98	Professional		$70.00	$70.00	$94.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $184.68	Facility		$148.80	$148.80	$184.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $197.59 / $356.26	Professional		$136.97	$197.59	$356.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $174.00 / $256.08	Facility		$116.67	$174.00	$256.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $91.13 / $183.00	Professional		$48.00	$91.13	$183.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $211.80 / $400.00	Professional		$174.00	$211.80	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $156.86 / $298.16	Professional		$123.50	$156.86	$298.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $278.37 / $701.34 / $701.34	Facility		$278.37	$701.34	$701.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $854.73 / $854.73 / $1,135.43	Professional		$854.73	$854.73	$1,135.43