Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $199.00 / $215.77	Facility		$97.78	$199.00	$215.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.78 / $143.94	Professional		$81.28	$97.78	$143.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $321.66 / $412.21	Facility		$207.04	$321.66	$412.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $142.43 / $324.41	Professional		$110.00	$142.43	$324.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $170.05 / $321.16	Facility		$92.87	$170.05	$321.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $90.69 / $189.34	Professional		$56.68	$90.69	$189.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $226.33 / $226.33	Facility		$97.78	$226.33	$226.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.33 / $226.33 / $783.27	Professional		$226.33	$226.33	$783.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $122.22 / $234.05	Professional		$79.44	$122.22	$234.05
United Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $75.45 / $165.98	Professional		$61.11	$75.45	$165.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $580.54 / $580.54	Facility		$212.66	$580.54	$580.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $611.10 / $916.65	Professional		$611.10	$611.10	$916.65