Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $103.21 / $129.71	Professional		$93.42	$103.21	$129.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $179.67 / $316.70	Professional		$113.55	$179.67	$316.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $147.31 / $258.88	Professional		$99.53	$147.31	$258.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $132.00 / $155.00	Professional		$100.00	$132.00	$155.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $143.84 / $167.47	Professional		$65.09	$143.84	$167.47
United Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $118.75 / $216.06	Professional		$91.27	$118.75	$216.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $827.78 / $3,176.85 / $3,176.85	Professional		$827.78	$3,176.85	$3,176.85