Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $338.84	Facility		$177.83	$288.40	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $275.42	Professional		$91.20	$114.82	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $269.15	Professional		$123.03	$173.78	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $288.40	Professional		$112.20	$158.49	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $213.80	Professional		$151.36	$151.36	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $223.87	Facility		$100.00	$138.04	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $251.19	Professional		$173.78	$218.78	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $223.87	Professional		$100.00	$131.83	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52