Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $151.27 / $151.27	Professional		$145.94	$151.27	$151.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $62.45 / $68.70	Professional		$57.97	$62.45	$68.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $151.27 / $195.77	Facility		$124.58	$151.27	$195.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $124.58 / $124.58	Professional		$124.58	$124.58	$124.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Professional		$111.50	$111.50	$111.50
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $213.56	Professional		$161.79	$161.79	$213.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $169.07 / $266.95 / $355.94	Facility		$169.07	$266.95	$355.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $676.29 / $676.29 / $800.87	Professional		$676.29	$676.29	$800.87