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 $64.57 / $85.11 / $117.49	Professional		$64.57	$85.11	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $316.23	Facility		$128.82	$154.88	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $120.23	Professional		$117.49	$120.23	$120.23
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 / $109.65	Professional		$72.44	$72.44	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $85.11	Professional		$66.07	$72.44	$85.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $120.23 / $213.80	Facility		$63.10	$120.23	$213.80
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 $52.48 / $93.33 / $125.89	Facility		$52.48	$93.33	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $112.20	Professional		$61.66	$79.43	$112.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,174.90	Professional		$794.33	$794.33	$1,174.90