Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $20.37	Professional		$15.28	$15.28	$20.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $162.02	Professional		$137.72	$137.72	$162.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $32.04 / $144.61	Facility		$23.03	$32.04	$144.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $23.03	Professional		$23.03	$23.03	$23.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $190.15 / $226.04	Professional		$182.22	$190.15	$226.04
United Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $36.29 / $36.29	Facility		$26.84	$36.29	$36.29
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $200.10	Professional		$153.91	$153.91	$200.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $324.04 / $324.04 / $324.04	Professional		$324.04	$324.04	$324.04