Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.84 / $300.89 / $5,327.91	Facility		$129.84	$300.89	$5,327.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $83.86 / $174.52	Professional		$79.86	$83.86	$174.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $129.15 / $174.23	Facility		$74.14	$129.15	$174.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $81.55 / $177.70	Professional		$74.14	$81.55	$177.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $79.86 / $134.84	Facility		$75.34	$79.86	$134.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $158.63	Professional		$79.86	$79.86	$158.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $111.05 / $190.14	Facility		$100.79	$111.05	$190.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $103.30 / $239.75	Professional		$92.11	$103.30	$239.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $127.78 / $288.39	Professional		$107.15	$127.78	$288.39
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.65 / $103.82	Professional		$79.86	$84.65	$103.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $176.49 / $206.69 / $760.75	Facility		$176.49	$206.69	$760.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,956.64 / $4,956.64 / $4,956.64	Professional		$4,956.64	$4,956.64	$4,956.64