Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $105.00 / $112.70	Professional		$40.00	$105.00	$112.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $87.42 / $147.55	Professional		$41.63	$87.42	$147.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $51.82 / $51.82	Facility		$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $55.92 / $126.00	Facility		$45.76	$55.92	$126.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $60.00 / $64.00	Professional		$46.64	$60.00	$64.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $194.20 / $236.20	Professional		$138.00	$194.20	$236.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.28 / $127.02	Professional		$45.00	$59.28	$127.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $89.32 / $254.98 / $254.98	Facility		$89.32	$254.98	$254.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $393.23 / $393.23	Professional		$301.64	$393.23	$393.23