Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.62 / $115.62 / $199.45	Facility		$115.62	$115.62	$199.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $115.62 / $115.62	Professional		$62.71	$115.62	$115.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $127.06 / $241.21	Facility		$105.88	$127.06	$241.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $99.03 / $99.03	Professional		$75.26	$99.03	$99.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.68 / $92.98 / $92.98	Facility		$81.68	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $67.88 / $170.63	Professional		$65.34	$67.88	$170.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $115.62 / $150.31	Facility		$40.78	$115.62	$150.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $92.00	Professional		$74.00	$74.00	$92.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $159.60 / $245.40	Professional		$159.60	$159.60	$245.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $65.87 / $101.51	Professional		$50.27	$65.87	$101.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $211.49 / $707.18 / $707.18	Facility		$211.49	$707.18	$707.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $736.96 / $736.96 / $997.43	Professional		$736.96	$736.96	$997.43