Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $128.86 / $222.29	Facility		$128.86	$128.86	$222.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $128.86 / $128.86	Professional		$62.83	$128.86	$128.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.04 / $218.29 / $268.83	Facility		$134.04	$218.29	$268.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $110.37 / $127.05	Professional		$102.45	$110.37	$127.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $170.64	Facility		$81.70	$81.70	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $170.64	Professional		$59.64	$81.70	$170.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $128.86 / $167.52	Facility		$42.11	$128.86	$167.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $155.00 / $155.00	Professional		$110.59	$155.00	$155.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $171.40 / $263.50	Professional		$171.40	$171.40	$263.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $72.77 / $106.46	Professional		$53.98	$72.77	$106.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $240.36 / $681.55 / $681.55	Facility		$240.36	$681.55	$681.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $737.14 / $737.14 / $1,071.23	Professional		$737.14	$737.14	$1,071.23