Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $293.79 / $293.79	Facility		$124.52	$293.79	$293.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $84.79 / $129.86	Professional		$69.17	$84.79	$129.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $176.24 / $249.76	Professional		$95.08	$176.24	$249.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $142.83 / $224.24	Professional		$89.50	$142.83	$224.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $117.40 / $169.19	Facility		$80.09	$117.40	$169.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $131.00 / $192.13	Professional		$86.24	$131.00	$192.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $199.10 / $256.70	Professional		$129.69	$199.10	$256.70
United Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $116.92 / $202.89	Professional		$91.19	$116.92	$202.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $158.93 / $414.44 / $414.44	Facility		$158.93	$414.44	$414.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $534.72 / $743.63 / $743.63	Professional		$534.72	$743.63	$743.63