Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.38 / $93.26 / $104.54	Facility		$81.38	$93.26	$104.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $88.76 / $104.54	Professional		$84.57	$88.76	$104.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.51 / $164.66 / $221.12	Facility		$104.51	$164.66	$221.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $111.64	Professional		$89.31	$89.31	$111.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $84.57 / $117.63	Facility		$79.78	$84.57	$117.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $98.61	Professional		$84.57	$84.57	$98.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $84.57 / $133.12	Facility		$62.27	$84.57	$133.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $145.05 / $170.00	Professional		$62.27	$145.05	$170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $139.11 / $161.96	Professional		$135.32	$139.11	$161.96
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.64 / $100.73	Professional		$84.57	$89.64	$100.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $518.54 / $518.54	Facility		$112.49	$518.54	$518.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $518.54 / $518.54 / $518.54	Professional		$518.54	$518.54	$518.54