Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $218.78	Facility		$112.20	$190.55	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $134.90	Professional		$57.54	$72.44	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $173.78	Professional		$77.62	$141.25	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $181.97	Professional		$70.79	$102.33	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $138.04	Facility		$61.66	$83.18	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $186.21	Professional		$141.25	$147.91	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $144.54	Professional		$64.57	$87.10	$144.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74