Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $96.50 / $220.63	Facility		$84.37	$96.50	$220.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $76.90 / $167.83	Professional		$55.71	$76.90	$167.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $107.98 / $184.63	Facility		$89.98	$107.98	$184.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $86.85 / $142.69	Professional		$61.31	$86.85	$142.69
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 $64.54 / $81.06 / $135.86	Professional		$64.54	$81.06	$135.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $99.27 / $120.72	Facility		$75.43	$99.27	$120.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $107.76 / $107.76	Professional		$70.92	$107.76	$107.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $104.22 / $184.80	Professional		$86.85	$104.22	$184.80
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $87.34 / $132.16	Professional		$72.70	$87.34	$132.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $197.61 / $230.89 / $531.48	Facility		$197.61	$230.89	$531.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $637.99 / $846.75 / $846.75	Professional		$637.99	$846.75	$846.75