Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $114.82	Professional		$56.23	$69.18	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $263.03	Facility		$123.03	$194.98	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $109.65	Professional		$97.72	$100.00	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $75.86 / $81.28	Facility		$58.88	$75.86	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $120.23	Professional		$54.95	$54.95	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $91.20	Professional		$69.18	$75.86	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $114.82 / $194.98	Facility		$56.23	$114.82	$194.98
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 $38.90 / $57.54 / $104.71	Facility		$38.90	$57.54	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $93.33	Professional		$47.86	$64.57	$93.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $954.99	Professional		$812.83	$812.83	$954.99