Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $190.55	Professional		$97.72	$134.90	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $436.52	Facility		$204.17	$323.59	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $181.97	Professional		$162.18	$165.96	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $134.90	Facility		$95.50	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $173.78	Professional		$100.00	$100.00	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $158.49	Professional		$102.33	$112.20	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $190.55 / $323.59	Facility		$93.33	$190.55	$323.59
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 $74.13 / $107.15 / $173.78	Facility		$74.13	$107.15	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $158.49	Professional		$83.18	$107.15	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03