Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $207.99 / $521.00	Facility		$114.00	$207.99	$521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $135.91 / $233.32	Professional		$112.98	$135.91	$233.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.81 / $312.89 / $477.85	Facility		$287.81	$312.89	$477.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $95.00 / $232.25	Professional		$58.38	$95.00	$232.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $236.52 / $445.70	Facility		$115.96	$236.52	$445.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $126.15 / $247.58	Professional		$77.77	$126.15	$247.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.03 / $129.03 / $246.36	Facility		$129.03	$129.03	$246.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $133.80	Professional		$129.03	$129.03	$133.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $169.90 / $325.36	Professional		$110.44	$169.90	$325.36
United Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $101.94 / $169.90	Professional		$64.52	$101.94	$169.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.63 / $807.03 / $807.03	Facility		$295.63	$807.03	$807.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $849.50 / $849.50 / $1,274.25	Professional		$849.50	$849.50	$1,274.25