Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.87 / $100.87 / $204.70	Facility		$100.87	$100.87	$204.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $100.87 / $100.87	Professional		$59.79	$100.87	$100.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.45 / $201.03 / $247.57	Facility		$123.45	$201.03	$247.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $101.64 / $101.64	Professional		$77.25	$101.64	$101.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $89.19 / $89.19	Facility		$83.82	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $159.75	Professional		$65.11	$89.19	$159.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $100.87 / $159.40	Facility		$39.04	$100.87	$159.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $96.00	Professional		$76.00	$76.00	$96.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $151.60 / $233.10	Professional		$151.60	$151.60	$233.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $67.89 / $106.06	Professional		$51.94	$67.89	$106.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $767.65 / $767.65	Facility		$237.55	$767.65	$767.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $799.97 / $799.97 / $947.55	Professional		$799.97	$799.97	$947.55