Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $120.82 / $208.42	Facility		$120.82	$120.82	$208.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $120.82 / $120.82	Professional		$65.39	$120.82	$120.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.64 / $132.77 / $252.07	Facility		$110.64	$132.77	$252.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $103.48 / $103.49	Professional		$96.06	$103.48	$103.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $86.21 / $86.21	Facility		$85.36	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $180.38	Professional		$62.93	$86.21	$180.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $120.82 / $162.29	Facility		$44.44	$120.82	$162.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $93.81	Professional		$78.00	$78.00	$93.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $208.70 / $320.89	Professional		$208.70	$208.70	$320.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $68.83 / $104.44	Professional		$52.89	$68.83	$104.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $260.85 / $706.68 / $706.68	Facility		$260.85	$706.68	$706.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $910.65 / $1,304.25	Professional		$910.65	$910.65	$1,304.25