Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $122.52 / $224.29	Facility		$94.47	$122.52	$224.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $94.47 / $185.18	Professional		$94.47	$94.47	$185.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $87.62 / $87.62	Professional		$87.62	$87.62	$87.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $163.57 / $698.11	Facility		$107.37	$163.57	$698.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $174.83 / $343.58	Professional		$86.16	$174.83	$343.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $131.65 / $289.58	Facility		$92.00	$131.65	$289.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $138.00 / $184.00	Professional		$45.00	$138.00	$184.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $203.80 / $452.60	Professional		$90.10	$203.80	$452.60
United Facility/Professional Facility Modifier Low / Median / High Price $996.79 / $996.79 / $996.79	Facility		$996.79	$996.79	$996.79
United Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $154.47 / $294.66	Professional		$95.64	$154.47	$294.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $343.59 / $734.94 / $734.94	Facility		$343.59	$734.94	$734.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,021.00 / $1,021.00	Professional		$1,021.00	$1,021.00	$1,021.00