Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.77 / $216.66 / $1,153.61	Facility		$93.77	$216.66	$1,153.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $93.77 / $93.77	Professional		$77.28	$93.77	$93.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $65.59 / $87.46	Professional		$65.59	$65.59	$87.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $98.13 / $211.81	Facility		$9.00	$98.13	$211.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $98.13 / $98.13	Professional		$98.13	$98.13	$98.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $226.40 / $269.05	Professional		$216.96	$226.40	$269.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $55.61 / $90.50	Professional		$24.42	$55.61	$90.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $187.64 / $187.64 / $535.71	Facility		$187.64	$187.64	$535.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $633.60 / $825.98 / $825.98	Professional		$633.60	$825.98	$825.98