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 / $123.03 / $186.21	Professional		$83.18	$123.03	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $380.19	Facility		$158.49	$190.55	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $158.49	Professional		$144.54	$147.91	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $138.04	Facility		$85.11	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $204.17	Professional		$100.00	$100.00	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $128.82	Professional		$120.23	$128.82	$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 $1,258.93 / $1,258.93 / $1,445.44	Professional		$1,258.93	$1,258.93	$1,445.44