Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.45 / $121.45 / $209.50	Facility		$121.45	$121.45	$209.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $121.45 / $121.45	Professional		$59.22	$121.45	$121.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $205.74 / $253.38	Facility		$126.35	$205.74	$253.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $104.02 / $104.03	Professional		$96.56	$104.02	$104.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $86.66 / $86.66	Facility		$85.80	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $180.38	Professional		$63.26	$86.66	$180.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $121.45 / $163.13	Facility		$44.67	$121.45	$163.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $94.31	Professional		$78.00	$78.00	$94.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $165.80 / $255.90	Professional		$165.80	$165.80	$255.90
United Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $69.19 / $108.55	Professional		$53.16	$69.19	$108.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $235.59 / $878.42 / $878.42	Facility		$235.59	$878.42	$878.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,004.09 / $1,004.09 / $1,040.25	Professional		$1,004.09	$1,004.09	$1,040.25