Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $130.13 / $463.29	Facility		$81.81	$130.13	$463.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $81.81 / $134.93	Professional		$43.82	$81.81	$134.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.34 / $300.38 / $300.38	Facility		$213.34	$300.38	$300.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $105.33 / $233.40	Professional		$46.02	$105.33	$233.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $142.11 / $268.67	Facility		$77.70	$142.11	$268.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $75.79 / $148.94	Professional		$47.37	$75.79	$148.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $102.26 / $169.75	Facility		$81.81	$102.26	$169.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $102.26 / $934.00	Professional		$102.26	$102.26	$934.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $939.55 / $939.55 / $939.55	Facility		$939.55	$939.55	$939.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $102.26 / $195.83	Professional		$66.47	$102.26	$195.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $61.36 / $105.33	Professional		$51.13	$61.36	$105.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $1,569.67 / $1,569.67	Facility		$177.93	$1,569.67	$1,569.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $511.30 / $511.30 / $766.95	Professional		$511.30	$511.30	$766.95