Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.60 / $202.60 / $349.50	Facility		$202.60	$202.60	$349.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $202.60 / $202.60	Professional		$117.18	$202.60	$202.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.77 / $343.22 / $422.68	Facility		$210.77	$343.22	$422.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $173.54 / $173.54	Professional		$131.88	$173.54	$173.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.12 / $166.23 / $166.23	Facility		$143.12	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $297.75	Professional		$121.35	$166.23	$297.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $202.60 / $272.14	Facility		$74.52	$202.60	$272.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $157.32	Professional		$130.00	$130.00	$157.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $276.60 / $426.90	Professional		$276.60	$276.60	$426.90
United Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $115.43 / $173.88	Professional		$88.68	$115.43	$173.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $396.29 / $1,465.42 / $1,465.42	Facility		$396.29	$1,465.42	$1,465.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,182.28 / $2,182.28 / $2,182.28	Professional		$2,182.28	$2,182.28	$2,182.28