Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $218.78	Facility		$120.23	$154.88	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $169.82	Professional		$123.03	$138.04	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $281.84	Facility		$165.96	$263.03	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $165.96	Professional		$77.62	$151.36	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $204.17	Facility		$131.83	$141.25	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $162.18	Professional		$141.25	$141.25	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $141.25 / $199.53	Facility		$83.18	$141.25	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $190.55 / $223.87	Professional		$0.60	$190.55	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $251.19	Facility		$138.04	$223.87	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $154.88	Professional		$134.90	$147.91	$154.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89