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 $141.25 / $218.78 / $295.12	Facility		$141.25	$218.78	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $125.89	Professional		$112.20	$112.20	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $169.82	Professional		$61.66	$61.66	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $218.78	Facility		$70.79	$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 $46.77 / $67.61 / $117.49	Facility		$46.77	$67.61	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $109.65	Professional		$54.95	$74.13	$109.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,071.52	Professional		$741.31	$1,071.52	$1,071.52