Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $158.49	Professional		$81.28	$120.23	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $363.08	Facility		$151.36	$181.97	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $112.20	Facility		$81.28	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $173.78	Professional		$81.28	$81.28	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $141.25	Professional		$93.33	$100.00	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $165.96 / $269.15	Facility		$79.43	$165.96	$269.15
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 $60.26 / $89.13 / $144.54	Facility		$60.26	$89.13	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $134.90	Professional		$69.18	$89.13	$134.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,380.38	Professional		$1,148.15	$1,148.15	$1,380.38