Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $171.20 / $347.47	Facility		$171.20	$171.20	$347.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $171.20 / $171.20	Professional		$110.04	$171.20	$171.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.42 / $221.31 / $420.18	Facility		$184.42	$221.31	$420.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $172.51 / $172.51	Professional		$131.11	$172.51	$172.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $175.58 / $175.58	Facility		$142.29	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $300.00	Professional		$128.16	$175.58	$300.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $171.20 / $259.05	Facility		$67.15	$171.20	$259.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $162.00	Professional		$129.00	$129.00	$162.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $264.70 / $407.00	Professional		$264.70	$264.70	$407.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $115.25 / $166.40	Professional		$88.17	$115.25	$166.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $434.50 / $1,083.05 / $1,083.05	Facility		$434.50	$1,083.05	$1,083.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,269.72 / $1,269.72 / $1,654.35	Professional		$1,269.72	$1,269.72	$1,654.35