Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $132.13 / $227.93	Facility		$132.13	$132.13	$227.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $132.13 / $132.13	Professional		$69.15	$132.13	$132.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $223.84 / $275.66	Facility		$137.47	$223.84	$275.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $113.18 / $113.18	Professional		$86.01	$113.18	$113.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $97.79 / $97.79	Facility		$93.34	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $205.13	Professional		$71.39	$97.79	$205.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $132.13 / $177.50	Facility		$48.60	$132.13	$177.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $102.60	Professional		$85.00	$85.00	$102.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $181.10 / $278.39	Professional		$181.10	$181.10	$278.39
United Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $74.61 / $85.37	Facility		$58.01	$74.61	$85.37
United Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $75.28 / $115.20	Professional		$57.84	$75.28	$115.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $257.88 / $955.70 / $955.70	Facility		$257.88	$955.70	$955.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,001.98 / $1,001.98 / $1,131.75	Professional		$1,001.98	$1,001.98	$1,131.75