Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $239.88	Facility		$85.11	$89.13	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $93.33	Professional		$83.18	$87.10	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $229.09	Facility		$95.50	$165.96	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $169.82	Facility		$89.13	$89.13	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Professional		$89.13	$89.13	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $89.13 / $120.23	Facility		$83.18	$89.13	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $30.20	Professional		$0.60	$0.60	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $165.96	Facility		$91.20	$147.91	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $97.72	Professional		$87.10	$93.33	$97.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74