Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $169.82	Professional		$83.18	$128.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $389.05	Facility		$162.18	$190.55	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $162.18	Professional		$144.54	$147.91	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $120.23	Facility		$87.10	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $154.88	Professional		$87.10	$87.10	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $128.82	Professional		$89.13	$95.50	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $169.82 / $288.40	Facility		$83.18	$169.82	$288.40
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 $64.57 / $95.50 / $154.88	Facility		$64.57	$95.50	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $144.54	Professional		$74.13	$95.50	$144.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,445.44	Professional		$1,148.15	$1,148.15	$1,445.44