Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $129.26 / $129.26	Facility		$103.09	$129.26	$129.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $156.38 / $308.12	Professional		$103.09	$156.38	$308.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $185.17 / $462.25	Professional		$112.73	$185.17	$462.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $149.74 / $325.60	Professional		$69.78	$149.74	$325.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $268.00 / $357.51	Facility		$139.09	$268.00	$357.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $190.40 / $190.40	Professional		$190.40	$190.40	$190.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $97.69 / $158.57	Professional		$97.69	$97.69	$158.57
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $150.30 / $308.61	Professional		$90.18	$150.30	$308.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $713.93 / $713.93 / $713.93	Facility		$713.93	$713.93	$713.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,127.25 / $1,210.74 / $1,210.74	Professional		$1,127.25	$1,210.74	$1,210.74