Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.45 / $103.45 / $103.45	Facility		$103.45	$103.45	$103.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $103.45 / $117.49	Professional		$77.80	$103.45	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $169.61 / $264.17	Professional		$96.58	$169.61	$264.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $124.14 / $181.00	Facility		$97.89	$124.14	$181.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $131.40 / $256.82	Professional		$92.27	$131.40	$256.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $205.60 / $267.10	Professional		$157.19	$205.60	$267.10
United Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $116.57 / $226.17	Professional		$92.76	$116.57	$226.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $179.96 / $530.37 / $530.37	Facility		$179.96	$530.37	$530.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $661.18 / $661.18 / $854.40	Professional		$661.18	$661.18	$854.40