Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.16 / $144.16 / $144.16	Facility		$144.16	$144.16	$144.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $144.16 / $144.16	Professional		$69.80	$144.16	$144.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.41 / $244.22 / $300.76	Facility		$210.41	$244.22	$300.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $130.47 / $139.16	Professional		$121.11	$130.47	$139.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.17 / $151.88	Professional		$38.08	$52.17	$151.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $144.16 / $178.27	Facility		$28.81	$144.16	$178.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $178.27 / $178.27	Professional		$178.27	$178.27	$178.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $140.60 / $140.60	Professional		$140.60	$140.60	$140.60
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $106.96 / $159.01	Professional		$71.31	$106.96	$159.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $207.42 / $580.79 / $580.79	Facility		$207.42	$580.79	$580.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $888.53 / $888.53 / $888.53	Professional		$888.53	$888.53	$888.53