Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $139.97 / $241.44	Facility		$139.97	$139.97	$241.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $139.97 / $139.97	Professional		$70.90	$139.97	$139.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.62 / $237.12 / $292.02	Facility		$145.62	$237.12	$292.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $119.90 / $127.89	Professional		$107.91	$119.90	$127.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $98.87	Facility		$85.16	$85.16	$98.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $199.45	Professional		$62.17	$85.16	$199.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $139.97 / $181.96	Facility		$43.89	$139.97	$181.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $108.68	Professional		$90.00	$90.00	$108.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $170.70 / $262.39	Professional		$170.70	$170.70	$262.39
United Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $79.03 / $112.59	Professional		$56.27	$79.03	$112.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $249.78 / $724.80 / $724.80	Facility		$249.78	$724.80	$724.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $810.66 / $810.66 / $1,066.80	Professional		$810.66	$810.66	$1,066.80