Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $265.26	Facility		$130.69	$130.69	$265.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $130.69 / $130.69	Professional		$78.56	$130.69	$130.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $168.96 / $320.79	Facility		$140.80	$168.96	$320.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $131.69 / $131.69	Professional		$100.09	$131.69	$131.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $113.00 / $113.00	Facility		$108.63	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $271.50	Professional		$82.49	$113.00	$271.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $130.69 / $206.55	Facility		$56.56	$130.69	$206.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $124.00	Professional		$99.00	$99.00	$124.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $252.40 / $388.10	Professional		$252.40	$252.40	$388.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $87.98 / $137.44	Professional		$67.31	$87.98	$137.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $393.34 / $998.26 / $998.26	Facility		$393.34	$998.26	$998.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,095.59 / $1,095.59 / $1,577.40	Professional		$1,095.59	$1,095.59	$1,577.40