Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.36 / $121.36 / $209.34	Facility		$121.36	$121.36	$209.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $121.36 / $121.36	Professional		$65.91	$121.36	$121.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.13 / $133.35 / $253.18	Facility		$111.13	$133.35	$253.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $103.95 / $103.95	Professional		$79.00	$103.95	$103.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $89.65 / $89.65	Facility		$85.73	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $160.50	Professional		$65.44	$89.65	$160.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $121.36 / $163.02	Facility		$44.64	$121.36	$163.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $94.23	Professional		$78.00	$78.00	$94.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $165.80 / $255.70	Professional		$165.80	$165.80	$255.70
United Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $69.14 / $105.81	Professional		$53.12	$69.14	$105.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $236.34 / $877.75 / $877.75	Facility		$236.34	$877.75	$877.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,406.25 / $1,406.25 / $1,406.25	Professional		$1,406.25	$1,406.25	$1,406.25