Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.87 / $83.87 / $83.87	Facility		$83.87	$83.87	$83.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $83.87 / $83.87	Professional		$59.18	$83.87	$83.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $49.76 / $60.00	Professional		$45.60	$49.76	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Facility		$76.70	$76.70	$76.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $109.30 / $109.30	Professional		$109.30	$109.30	$109.30
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $106.39	Professional		$91.30	$91.30	$106.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $164.36 / $219.14	Facility		$104.09	$164.36	$219.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $416.37 / $416.37 / $493.07	Professional		$416.37	$416.37	$493.07