Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $107.99 / $186.29	Facility		$107.99	$107.99	$186.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $107.99 / $107.99	Professional		$53.64	$107.99	$107.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $118.65 / $225.29	Facility		$98.87	$118.65	$225.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $92.49 / $92.49	Professional		$70.29	$92.49	$92.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $79.77 / $79.77	Facility		$76.29	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $79.77 / $142.88	Professional		$58.23	$79.77	$142.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $107.99 / $140.38	Facility		$39.72	$107.99	$140.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $83.85	Professional		$69.00	$69.00	$83.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $157.69 / $242.50	Professional		$157.69	$157.69	$242.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $61.52 / $94.14	Professional		$47.27	$61.52	$94.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $207.53 / $781.04 / $781.04	Facility		$207.53	$781.04	$781.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $940.46 / $940.46 / $985.88	Professional		$940.46	$940.46	$985.88