Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $116.18 / $200.40	Facility		$116.18	$116.18	$200.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $116.18 / $116.18	Professional		$56.65	$116.18	$116.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $127.66 / $242.37	Facility		$106.38	$127.66	$242.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $99.51 / $99.51	Professional		$75.63	$99.51	$99.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.06 / $106.22 / $106.22	Facility		$82.06	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $187.88	Professional		$77.54	$106.22	$187.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $116.18 / $156.06	Facility		$42.73	$116.18	$156.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $90.20	Professional		$75.00	$75.00	$90.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $159.19 / $244.80	Professional		$159.19	$159.19	$244.80
United Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $65.59 / $75.06	Facility		$51.00	$65.59	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $66.19 / $99.70	Professional		$50.85	$66.19	$99.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $840.28 / $840.28	Facility		$233.97	$840.28	$840.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,453.37 / $1,453.37 / $1,453.37	Professional		$1,453.37	$1,453.37	$1,453.37