Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $127.12 / $219.29	Facility		$127.12	$127.12	$219.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $127.12 / $127.12	Professional		$61.98	$127.12	$127.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $139.68 / $265.20	Facility		$116.40	$139.68	$265.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $108.88 / $108.88	Professional		$82.75	$108.88	$108.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $100.43 / $100.43	Facility		$89.80	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $180.00	Professional		$73.31	$100.43	$180.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $127.12 / $170.76	Facility		$46.76	$127.12	$170.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $98.71	Professional		$82.00	$82.00	$98.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $174.20 / $267.89	Professional		$174.20	$174.20	$267.89
United Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $72.43 / $109.10	Professional		$55.27	$72.43	$109.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $242.87 / $876.23 / $876.23	Facility		$242.87	$876.23	$876.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $958.17 / $958.17 / $1,088.78	Professional		$958.17	$958.17	$1,088.78