Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.94 / $111.94 / $193.12	Facility		$111.94	$111.94	$193.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $111.94 / $111.94	Professional		$54.58	$111.94	$111.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $189.63 / $233.53	Facility		$116.45	$189.63	$233.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $95.88 / $102.27	Professional		$86.29	$95.88	$102.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $70.98 / $70.98	Facility		$40.00	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $70.98 / $147.38	Professional		$40.00	$70.98	$147.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $111.94 / $145.52	Facility		$36.59	$111.94	$145.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $93.00	Professional		$74.00	$74.00	$93.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $229.10 / $244.81	Professional		$149.00	$229.10	$244.81
United Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $63.21 / $92.48	Professional		$46.91	$63.21	$92.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.74 / $592.25 / $592.25	Facility		$199.74	$592.25	$592.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $640.13 / $931.20 / $931.20	Professional		$640.13	$931.20	$931.20