Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $144.54	Professional		$67.61	$83.18	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $331.13	Facility		$218.78	$245.47	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $141.25	Professional		$131.83	$134.90	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $151.36	Professional		$38.02	$38.02	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $190.55	Facility		$57.54	$144.54	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $138.04	Facility		$70.79	$95.50	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $158.49	Professional		$77.62	$107.15	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25