Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $269.15	Facility		$120.23	$120.23	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $251.19	Professional		$120.23	$144.54	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $213.80	Professional		$131.83	$131.83	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $389.05	Professional		$123.03	$223.87	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $295.12	Facility		$120.23	$165.96	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $281.84	Professional		$117.49	$154.88	$281.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,096.48	Professional		$933.25	$1,096.48	$1,096.48