Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $210.45 / $363.05	Facility		$210.45	$210.45	$363.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $210.45 / $415.34	Professional		$115.36	$210.45	$415.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.70 / $231.24 / $439.05	Facility		$192.70	$231.24	$439.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $180.26 / $192.27	Professional		$162.22	$180.26	$192.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $152.55 / $152.55	Facility		$130.00	$152.55	$152.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $277.13	Professional		$111.36	$152.55	$277.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $210.45 / $273.58	Facility		$68.78	$210.45	$273.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $139.00 / $160.13	Professional		$139.00	$139.00	$160.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $430.50	Professional		$280.00	$280.00	$430.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $118.84 / $188.11	Professional		$88.18	$118.84	$188.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $375.54 / $1,113.14 / $1,113.14	Facility		$375.54	$1,113.14	$1,113.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,203.42 / $1,749.75 / $1,749.75	Professional		$1,203.42	$1,749.75	$1,749.75