Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.62 / $159.62 / $275.37	Facility		$159.62	$159.62	$275.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $159.62 / $159.62	Professional		$87.12	$159.62	$159.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $175.37 / $333.01	Facility		$146.13	$175.37	$333.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $136.72 / $136.72	Professional		$103.91	$136.72	$136.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $112.76	Facility		$111.95	$111.95	$112.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.95 / $265.13	Professional		$81.72	$111.95	$265.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $159.62 / $207.51	Facility		$57.70	$159.62	$207.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $123.96	Professional		$103.00	$103.00	$123.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $220.70 / $339.30	Professional		$220.70	$220.70	$339.30
United Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $90.13 / $134.63	Professional		$69.40	$90.13	$134.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $304.27 / $1,134.68 / $1,134.68	Facility		$304.27	$1,134.68	$1,134.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,146.61 / $1,146.61 / $1,379.48	Professional		$1,146.61	$1,146.61	$1,379.48