Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $105.45 / $181.91	Facility		$105.45	$105.45	$181.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $105.45 / $105.45	Professional		$53.52	$105.45	$105.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $115.87 / $219.99	Facility		$96.56	$115.87	$219.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $90.32 / $90.32	Professional		$68.64	$90.32	$90.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $84.33 / $84.33	Facility		$74.48	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $84.33 / $138.75	Professional		$61.56	$84.33	$138.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $105.45 / $137.09	Facility		$36.70	$105.45	$137.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $81.88	Professional		$68.00	$68.00	$81.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $139.80 / $214.90	Professional		$139.80	$139.80	$214.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $60.08 / $94.25	Professional		$45.85	$60.08	$94.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $190.34 / $618.45 / $618.45	Facility		$190.34	$618.45	$618.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $667.95 / $667.95 / $873.45	Professional		$667.95	$667.95	$873.45