Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $96.00 / $193.44	Facility		$75.59	$96.00	$193.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $96.00 / $127.20	Professional		$79.80	$96.00	$127.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.35 / $352.49 / $352.49	Facility		$250.35	$352.49	$352.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $102.00 / $216.00	Professional		$54.00	$102.00	$216.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $167.16 / $314.93	Facility		$81.90	$167.16	$314.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $89.15 / $174.88	Professional		$55.60	$89.15	$174.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $120.00 / $180.00	Facility		$96.00	$120.00	$180.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $120.00	Professional		$78.00	$78.00	$120.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $120.00 / $229.80	Professional		$78.00	$120.00	$229.80
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $72.00 / $123.60	Professional		$60.00	$72.00	$123.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $208.80 / $811.07 / $811.07	Facility		$208.80	$811.07	$811.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $900.00	Professional		$600.00	$600.00	$900.00