Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.29 / $140.29 / $241.98	Facility		$140.29	$140.29	$241.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $140.29 / $140.29	Professional		$68.40	$140.29	$140.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $154.13 / $292.68	Facility		$128.44	$154.13	$292.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $120.17 / $128.18	Professional		$108.16	$120.17	$128.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $88.96 / $88.96	Facility		$45.00	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $88.96 / $184.88	Professional		$45.00	$88.96	$184.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $140.29 / $182.38	Facility		$45.85	$140.29	$182.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $116.00	Professional		$92.00	$92.00	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $186.70 / $287.00	Professional		$186.70	$186.70	$287.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $79.20 / $112.85	Professional		$58.78	$79.20	$112.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $250.35 / $742.11 / $742.11	Facility		$250.35	$742.11	$742.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $802.33 / $1,166.63 / $1,166.63	Professional		$802.33	$1,166.63	$1,166.63