Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $165.28 / $335.45	Facility		$165.28	$165.28	$335.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $165.28 / $165.28	Professional		$111.48	$165.28	$165.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $213.64 / $405.68	Facility		$178.03	$213.64	$405.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $166.55 / $166.55	Professional		$126.58	$166.55	$166.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.37 / $138.76 / $138.76	Facility		$137.37	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $274.13	Professional		$101.29	$138.76	$274.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $165.28 / $261.20	Facility		$71.52	$165.28	$261.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $156.00	Professional		$125.00	$125.00	$156.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.50 / $289.50 / $445.10	Professional		$289.50	$289.50	$445.10
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $110.79 / $173.81	Professional		$85.12	$110.79	$173.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $464.87 / $1,406.43 / $1,406.43	Facility		$464.87	$1,406.43	$1,406.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,505.07 / $1,505.07 / $1,809.15	Professional		$1,505.07	$1,505.07	$1,809.15