Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $131.83	Professional		$69.18	$104.71	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $158.49 / $316.23	Facility		$131.83	$158.49	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $134.90	Professional		$120.23	$123.03	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $100.00	Facility		$70.79	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $128.82	Professional		$72.44	$72.44	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $109.65	Professional		$100.00	$107.15	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $234.42	Facility		$67.61	$134.90	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $120.23 / $128.82	Facility		$66.07	$120.23	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $123.03	Professional		$66.07	$79.43	$123.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26