Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $275.42	Professional		$154.88	$204.17	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $275.42	Facility		$72.44	$138.04	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $218.78	Professional		$74.13	$123.03	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $346.74	Facility		$79.43	$199.53	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $158.49	Professional		$41.69	$109.65	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $134.90 / $346.74	Facility		$37.15	$134.90	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $263.03 / $537.03	Professional		$89.13	$263.03	$537.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $691.83	Professional		$562.34	$562.34	$691.83