Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $128.47 / $157.69	Facility		$128.47	$128.47	$157.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $128.47 / $128.47	Professional		$92.91	$128.47	$128.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $217.64 / $268.02	Facility		$133.66	$217.64	$268.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $110.05 / $117.38	Professional		$100.18	$110.05	$117.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $93.60	Facility		$88.15	$88.15	$93.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $170.25	Professional		$74.93	$88.15	$170.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $128.47 / $168.05	Facility		$40.18	$128.47	$168.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $97.76	Professional		$95.00	$95.00	$97.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $176.10 / $270.70	Professional		$176.10	$176.10	$270.70
United Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $62.70 / $97.64	Facility		$49.35	$62.70	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $72.55 / $114.85	Professional		$48.80	$72.55	$114.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.26 / $696.97 / $696.97	Facility		$229.26	$696.97	$696.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $730.72 / $730.72 / $1,100.48	Professional		$730.72	$730.72	$1,100.48