Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $125.25 / $216.06	Facility		$125.25	$125.25	$216.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $125.25 / $125.25	Professional		$75.04	$125.25	$125.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.31 / $212.18 / $261.30	Facility		$130.31	$212.18	$261.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $107.28 / $107.28	Professional		$81.53	$107.28	$107.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $89.11 / $89.11	Facility		$88.48	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $217.13	Professional		$65.05	$89.11	$217.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $125.25 / $162.83	Facility		$45.25	$125.25	$162.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $97.25	Professional		$80.00	$80.00	$97.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $224.60 / $345.60	Professional		$224.60	$224.60	$345.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $71.36 / $111.95	Professional		$54.82	$71.36	$111.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $280.97 / $830.82 / $830.82	Facility		$280.97	$830.82	$830.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $899.09 / $899.09 / $1,404.83	Professional		$899.09	$899.09	$1,404.83