Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $288.40	Facility		$83.18	$104.71	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $229.09	Professional		$64.57	$89.13	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $295.12	Facility		$109.65	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $218.78	Professional		$74.13	$117.49	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $186.21	Facility		$81.28	$112.20	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $323.59	Professional		$83.18	$162.18	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $79.43 / $251.19	Facility		$22.39	$79.43	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $190.55	Professional		$70.79	$102.33	$190.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $794.33	Professional		$645.65	$645.65	$794.33