Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $269.15	Professional		$128.82	$134.90	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $426.58	Professional		$213.80	$323.59	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $173.78	Professional		$120.23	$120.23	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $199.53	Professional		$128.82	$169.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $162.18	Professional		$79.43	$109.65	$162.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81