Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.83 / $242.83 / $242.83	Facility		$242.83	$242.83	$242.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.78 / $242.83 / $242.83	Professional		$170.78	$242.83	$242.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $206.41 / $248.85	Professional		$191.60	$206.41	$248.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $242.83 / $253.07 / $376.65	Facility		$242.83	$253.07	$376.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $253.07 / $253.07	Professional		$253.07	$253.07	$253.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $373.50 / $373.50	Professional		$373.50	$373.50	$373.50
United Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $144.59 / $240.98	Professional		$107.50	$144.59	$240.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $410.88 / $527.58 / $1,506.13	Facility		$410.88	$527.58	$1,506.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,409.81 / $2,322.38 / $2,322.38	Professional		$1,409.81	$2,322.38	$2,322.38