Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $150.63 / $264.44	Facility		$113.34	$150.63	$264.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $113.34 / $226.67	Professional		$113.34	$113.34	$226.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $143.18 / $143.18	Professional		$143.18	$143.18	$143.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $164.24 / $3,554.03	Facility		$107.85	$164.24	$3,554.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $324.11 / $755.89	Professional		$142.63	$324.11	$755.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $354.81 / $809.00	Facility		$113.34	$354.81	$809.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $114.00 / $187.00	Professional		$73.00	$114.00	$187.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $250.12 / $728.10	Professional		$98.76	$250.12	$728.10
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $256.17 / $449.61	Professional		$136.12	$256.17	$449.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $883.28 / $1,173.00 / $1,201.14	Facility		$883.28	$1,173.00	$1,201.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,193.40 / $3,193.40 / $3,193.40	Professional		$3,193.40	$3,193.40	$3,193.40