Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $175.00 / $187.18	Professional		$72.00	$175.00	$187.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $100.00 / $265.37	Professional		$74.88	$100.00	$265.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $99.51 / $210.00	Facility		$83.60	$99.51	$210.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $107.00 / $115.00	Professional		$83.88	$107.00	$115.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $323.80 / $393.80	Professional		$229.20	$323.80	$393.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $107.16 / $228.64	Professional		$81.00	$107.16	$228.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $160.65 / $458.61 / $458.61	Facility		$160.65	$458.61	$458.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $542.51 / $707.18 / $707.18	Professional		$542.51	$707.18	$707.18