Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.63 / $211.63 / $211.63	Facility		$211.63	$211.63	$211.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.58 / $211.63 / $211.63	Professional		$116.58	$211.63	$211.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $148.04 / $161.69	Professional		$137.41	$148.04	$161.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $210.68 / $210.68	Facility		$200.00	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $210.68 / $401.63	Professional		$153.80	$210.68	$401.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $211.63 / $290.00	Facility		$109.34	$211.63	$290.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $231.00	Professional		$231.00	$231.00	$231.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $299.80 / $299.80 / $299.80	Professional		$299.80	$299.80	$299.80
United Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $135.49 / $207.01	Professional		$118.26	$135.49	$207.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $423.47 / $1,208.97 / $1,208.97	Facility		$423.47	$1,208.97	$1,208.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,607.81 / $1,864.13 / $1,864.13	Professional		$1,607.81	$1,864.13	$1,864.13