Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $106.56 / $183.86	Facility		$106.56	$106.56	$183.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $106.56 / $106.56	Professional		$52.94	$106.56	$106.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $117.09 / $222.31	Facility		$97.58	$117.09	$222.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $91.27 / $97.35	Professional		$82.14	$91.27	$97.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $120.00	Facility		$67.56	$67.56	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $67.56 / $140.25	Professional		$49.33	$67.56	$140.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $106.56 / $138.53	Facility		$34.83	$106.56	$138.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $88.00	Professional		$77.00	$77.00	$88.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $218.00 / $233.04	Professional		$141.80	$218.00	$233.04
United Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $60.71 / $95.26	Professional		$46.33	$60.71	$95.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $190.14 / $563.71 / $563.71	Facility		$190.14	$563.71	$563.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $609.50 / $886.13 / $886.13	Professional		$609.50	$886.13	$886.13