Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $142.61 / $246.02	Facility		$142.61	$142.61	$246.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $142.61 / $156.87	Professional		$74.26	$142.61	$156.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $156.71 / $297.52	Facility		$130.59	$156.71	$297.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $122.15 / $130.30	Professional		$109.94	$122.15	$130.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $117.36 / $117.36	Facility		$100.75	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $219.38	Professional		$85.67	$117.36	$219.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $142.61 / $185.39	Facility		$48.61	$142.61	$185.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $110.74	Professional		$92.00	$92.00	$110.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $200.40 / $308.20	Professional		$200.40	$200.40	$308.20
United Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $81.25 / $115.23	Professional		$62.01	$81.25	$115.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $254.48 / $889.01 / $889.01	Facility		$254.48	$889.01	$889.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $898.37 / $898.37 / $1,252.65	Professional		$898.37	$898.37	$1,252.65