Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $169.82	Professional		$83.18	$114.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $380.19	Facility		$181.97	$281.84	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $162.18	Professional		$144.54	$147.91	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $123.03	Facility		$85.11	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $154.88	Professional		$91.20	$91.20	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $134.90	Professional		$120.23	$128.82	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $169.82 / $288.40	Facility		$83.18	$169.82	$288.40
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 $64.57 / $95.50 / $154.88	Facility		$64.57	$95.50	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $144.54	Professional		$74.13	$95.50	$144.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,778.28	Professional		$1,288.25	$1,288.25	$1,778.28