Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $132.13 / $132.13	Facility		$132.13	$132.13	$132.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $132.13 / $132.13	Professional		$63.96	$132.13	$132.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.11 / $192.13 / $275.68	Facility		$160.11	$192.13	$275.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $119.50 / $131.44	Professional		$110.93	$119.50	$131.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $128.79 / $139.13	Professional		$94.02	$128.79	$139.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $132.13 / $158.57	Facility		$39.29	$132.13	$158.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $153.53 / $153.53	Professional		$153.53	$153.53	$153.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $201.50 / $211.08	Professional		$129.00	$201.50	$211.08
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $96.99 / $138.18	Professional		$65.23	$96.99	$138.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $190.29 / $532.72 / $532.72	Facility		$190.29	$532.72	$532.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $814.14 / $814.14 / $814.14	Professional		$814.14	$814.14	$814.14