Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $142.00 / $283.56	Facility		$83.84	$142.00	$283.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $77.25 / $150.57	Professional		$55.74	$77.25	$150.57
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $141.96 / $174.83	Facility		$105.37	$141.96	$174.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $75.29 / $139.61	Professional		$65.88	$75.29	$139.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $186.00 / $186.00	Facility		$186.00	$186.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $80.01 / $134.53	Professional		$64.26	$80.01	$134.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $94.93 / $120.16	Facility		$73.73	$94.93	$120.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $94.93 / $94.93	Professional		$73.16	$94.93	$94.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $491.85 / $829.74	Facility		$472.30	$491.85	$829.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $154.75 / $180.22	Professional		$85.19	$154.75	$180.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $82.56 / $127.97	Professional		$73.23	$82.56	$127.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $197.61 / $225.88 / $516.79	Facility		$197.61	$225.88	$516.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $824.10 / $824.10	Professional		$633.66	$824.10	$824.10