Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.16 / $180.16 / $310.77	Facility		$180.16	$180.16	$310.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $180.16 / $180.16	Professional		$101.90	$180.16	$180.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $197.95 / $375.86	Facility		$164.96	$197.95	$375.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $154.30 / $154.31	Professional		$143.24	$154.30	$154.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $142.94 / $142.94	Facility		$127.26	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $282.75	Professional		$104.35	$142.94	$282.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $180.16 / $234.21	Facility		$64.42	$180.16	$234.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $139.88	Professional		$116.00	$116.00	$139.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $369.00	Professional		$240.00	$240.00	$369.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $102.65 / $150.31	Professional		$78.33	$102.65	$150.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $339.59 / $1,059.51 / $1,059.51	Facility		$339.59	$1,059.51	$1,059.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,294.30 / $1,294.30 / $1,500.15	Professional		$1,294.30	$1,294.30	$1,500.15