Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $120.23	Professional		$58.88	$85.11	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $275.42	Facility		$128.82	$204.17	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $117.49	Professional		$104.71	$107.15	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $87.10	Facility		$61.66	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $112.20	Professional		$63.10	$63.10	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $93.33	Professional		$85.11	$93.33	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $120.23 / $204.17	Facility		$58.88	$120.23	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $69.18 / $112.20	Facility		$46.77	$69.18	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $104.71	Professional		$53.70	$69.18	$104.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,047.13	Professional		$1,000.00	$1,000.00	$1,047.13