Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $115.53 / $199.29	Facility		$115.53	$115.53	$199.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $115.53 / $115.53	Professional		$56.33	$115.53	$115.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.19 / $195.72 / $241.03	Facility		$120.19	$195.72	$241.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $98.96 / $98.96	Professional		$75.20	$98.96	$98.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $103.32 / $103.32	Facility		$81.61	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $185.25	Professional		$75.42	$103.32	$185.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $115.53 / $155.19	Facility		$42.49	$115.53	$155.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $89.71	Professional		$74.00	$74.00	$89.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $158.30 / $243.40	Professional		$158.30	$158.30	$243.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $65.81 / $99.15	Professional		$50.57	$65.81	$99.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $227.33 / $835.62 / $835.62	Facility		$227.33	$835.62	$835.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $910.13 / $910.13 / $989.55	Professional		$910.13	$910.13	$989.55