Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.51 / $286.16 / $800.42	Facility		$105.51	$286.16	$800.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $91.12 / $108.36	Professional		$91.12	$91.12	$108.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $77.51 / $85.26	Professional		$77.50	$77.51	$85.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $127.48	Professional		$108.36	$108.36	$127.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $91.12 / $169.46	Facility		$65.03	$91.12	$169.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $169.46 / $169.46	Professional		$169.46	$169.46	$169.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $272.44 / $323.91	Professional		$261.12	$272.44	$323.91
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $138.11	Professional		$106.24	$106.24	$138.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $149.86 / $176.32 / $254.96	Facility		$149.86	$176.32	$254.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $484.42 / $517.50	Professional		$484.42	$484.42	$517.50