Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $128.82	Professional		$61.66	$81.28	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $295.12	Facility		$138.04	$218.78	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $112.20	Professional		$109.65	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $169.82	Facility		$81.28	$81.28	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $169.82	Professional		$60.26	$60.26	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $95.50	Professional		$69.18	$74.13	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $128.82 / $218.78	Facility		$61.66	$128.82	$218.78
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 $44.67 / $64.57 / $117.49	Facility		$44.67	$64.57	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $104.71	Professional		$54.95	$72.44	$104.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,071.52	Professional		$741.31	$741.31	$1,071.52