Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $112.75 / $194.49	Facility		$112.75	$112.75	$194.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $112.75 / $112.75	Professional		$62.00	$112.75	$112.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $191.01 / $235.23	Facility		$117.31	$191.01	$235.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $96.57 / $96.57	Professional		$73.39	$96.57	$96.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.65 / $80.45 / $80.45	Facility		$79.65	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $149.25	Professional		$58.73	$80.45	$149.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $112.75 / $151.44	Facility		$41.47	$112.75	$151.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $87.54	Professional		$72.00	$72.00	$87.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $159.90 / $245.90	Professional		$159.90	$159.90	$245.90
United Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $64.23 / $100.78	Professional		$49.35	$64.23	$100.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $815.48 / $815.48	Facility		$216.50	$815.48	$815.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $913.68 / $913.68 / $999.45	Professional		$913.68	$913.68	$999.45