Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $205.70 / $205.70	Professional		$198.44	$205.70	$205.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $55.94 / $61.53	Professional		$51.92	$55.94	$61.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $205.70 / $266.20	Facility		$123.97	$205.70	$266.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.10 / $177.10 / $177.10	Professional		$177.10	$177.10	$177.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $101.70 / $101.70	Professional		$101.70	$101.70	$101.70
United Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $98.26 / $132.88	Facility		$98.26	$98.26	$132.88
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $286.00	Professional		$220.00	$220.00	$286.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.90 / $363.00 / $484.00	Facility		$229.90	$363.00	$484.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $919.60 / $919.60 / $1,089.00	Professional		$919.60	$919.60	$1,089.00