Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $290.85	Facility		$143.31	$143.31	$290.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $143.31 / $143.31	Professional		$100.74	$143.31	$143.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $185.26 / $351.74	Facility		$154.38	$185.26	$351.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $144.41 / $144.41	Professional		$109.75	$144.41	$144.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.11 / $126.98 / $126.98	Facility		$119.11	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $95.29 / $274.50	Professional		$92.70	$95.29	$274.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $143.31 / $226.49	Facility		$62.01	$143.31	$226.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $136.00	Professional		$108.00	$108.00	$136.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.10 / $308.10 / $473.70	Professional		$308.10	$308.10	$473.70
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $96.47 / $150.69	Professional		$75.20	$96.47	$150.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $397.62 / $1,145.36 / $1,145.36	Facility		$397.62	$1,145.36	$1,145.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,232.30 / $1,232.30 / $1,925.48	Professional		$1,232.30	$1,232.30	$1,925.48