Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $156.44 / $294.10	Facility		$113.34	$156.44	$294.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $113.34 / $252.12	Professional		$113.34	$113.34	$252.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $142.02 / $142.02	Professional		$142.02	$142.02	$142.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $164.24 / $759.03	Facility		$107.85	$164.24	$759.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.51 / $362.46 / $801.95	Professional		$143.51	$362.46	$801.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $374.96 / $809.00	Facility		$113.34	$374.96	$809.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $122.00 / $194.00	Professional		$72.00	$122.00	$194.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.60 / $344.10 / $727.40	Professional		$269.60	$344.10	$727.40
United Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $259.70 / $515.97	Professional		$135.91	$259.70	$515.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $881.20 / $1,309.69 / $1,309.69	Facility		$881.20	$1,309.69	$1,309.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,555.00 / $3,555.00 / $3,555.00	Professional		$3,555.00	$3,555.00	$3,555.00