Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.93 / $162.93 / $281.08	Facility		$162.93	$162.93	$281.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $162.93 / $162.93	Professional		$73.06	$162.93	$162.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.18 / $179.01 / $339.91	Facility		$149.18	$179.01	$339.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.55 / $139.56 / $153.52	Professional		$129.55	$139.56	$153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $115.10	Facility		$90.28	$90.28	$115.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $161.63	Professional		$65.90	$90.28	$161.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $162.93 / $211.81	Facility		$44.95	$162.93	$211.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $126.52	Professional		$105.00	$105.00	$126.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $167.20 / $257.50	Professional		$167.20	$167.20	$257.50
United Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $88.34 / $139.56	Professional		$61.89	$88.34	$139.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $283.31 / $703.87 / $703.87	Facility		$283.31	$703.87	$703.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $831.20 / $831.20 / $1,046.70	Professional		$831.20	$831.20	$1,046.70