Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $138.34 / $138.34	Facility		$138.34	$138.34	$138.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $138.34 / $162.36	Professional		$127.92	$138.34	$162.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.34 / $267.41 / $450.53	Professional		$127.34	$267.41	$450.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $157.91 / $157.91	Facility		$157.91	$157.91	$157.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.26 / $213.94 / $371.62	Professional		$154.26	$213.94	$371.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $156.01 / $222.85	Facility		$130.90	$156.01	$222.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $187.00 / $288.47	Professional		$170.20	$187.00	$288.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $205.41 / $278.89	Professional		$125.32	$205.41	$278.89
United Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $170.01 / $328.64	Professional		$130.25	$170.01	$328.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $255.73 / $530.83 / $666.43	Facility		$255.73	$530.83	$666.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $871.74 / $871.74 / $1,108.05	Professional		$871.74	$871.74	$1,108.05