Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $311.45	Facility		$180.55	$180.55	$311.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $180.55 / $180.55	Professional		$88.03	$180.55	$180.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $198.36 / $376.67	Facility		$165.30	$198.36	$376.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $154.63 / $154.63	Professional		$117.53	$154.63	$154.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $127.54	Facility		$120.06	$120.06	$127.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $215.25	Professional		$87.64	$120.06	$215.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $179.61 / $234.72	Facility		$54.63	$179.61	$234.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $140.19	Professional		$116.00	$116.00	$140.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.80 / $223.80 / $344.10	Professional		$223.80	$223.80	$344.10
United Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $98.72 / $145.25	Professional		$70.03	$98.72	$145.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.18 / $878.76 / $878.76	Facility		$322.18	$878.76	$878.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,011.39 / $1,011.39 / $1,398.75	Professional		$1,011.39	$1,011.39	$1,398.75