Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $140.09 / $228.48	Facility		$84.40	$140.09	$228.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $150.85 / $187.00	Professional		$64.47	$150.85	$187.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.12 / $165.74 / $314.70	Facility		$138.12	$165.74	$314.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $129.19 / $137.82	Professional		$116.28	$129.19	$137.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $115.38 / $115.38	Facility		$106.56	$115.38	$115.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $198.00	Professional		$84.23	$115.38	$198.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $150.85 / $196.11	Facility		$46.07	$150.85	$196.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $117.14	Professional		$97.00	$97.00	$117.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $283.36 / $304.20	Professional		$197.80	$283.36	$304.20
United Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $83.25 / $121.36	Professional		$59.47	$83.25	$121.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $269.17 / $851.77 / $851.77	Facility		$269.17	$851.77	$851.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $860.74 / $860.74 / $1,236.53	Professional		$860.74	$860.74	$1,236.53