Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.27 / $117.27 / $238.00	Facility		$117.27	$117.27	$238.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $117.27 / $117.27	Professional		$67.22	$117.27	$117.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.34 / $151.61 / $287.81	Facility		$126.34	$151.61	$287.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $118.16 / $118.16	Professional		$89.80	$118.16	$118.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $99.25 / $99.25	Facility		$97.47	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $77.97 / $166.88	Professional		$72.45	$77.97	$166.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $117.27 / $177.44	Facility		$40.32	$117.27	$177.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $111.00	Professional		$89.00	$89.00	$111.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $188.60 / $290.00	Professional		$188.60	$188.60	$290.00
United Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $82.54 / $96.25	Facility		$48.13	$82.54	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $78.61 / $123.32	Professional		$60.40	$78.61	$123.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $246.18 / $782.09 / $782.09	Facility		$246.18	$782.09	$782.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $790.32 / $790.32 / $1,179.00	Professional		$790.32	$790.32	$1,179.00