Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $112.80 / $244.14	Facility		$112.80	$112.80	$244.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $112.80 / $112.80	Professional		$57.87	$112.80	$112.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $191.09 / $235.33	Facility		$147.22	$191.09	$235.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $100.49 / $107.18	Professional		$93.28	$100.49	$107.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $111.38	Professional		$55.98	$76.68	$111.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $112.80 / $168.96	Facility		$46.25	$112.80	$168.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $103.23	Professional		$90.00	$90.00	$103.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $136.50 / $183.21	Professional		$108.91	$136.50	$183.21
United Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $71.01 / $76.23	Facility		$55.21	$71.01	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $79.91 / $113.84	Professional		$55.21	$79.91	$113.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.17 / $469.03 / $469.03	Facility		$165.17	$469.03	$469.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $668.30 / $668.30 / $722.25	Professional		$668.30	$668.30	$722.25