Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.29 / $107.29 / $217.72	Facility		$107.29	$107.29	$217.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $107.29 / $107.29	Professional		$64.48	$107.29	$107.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.31 / $213.82 / $263.33	Facility		$131.31	$213.82	$263.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $108.10 / $108.11	Professional		$100.35	$108.10	$108.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $90.07 / $90.07	Facility		$89.16	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $167.25	Professional		$65.75	$90.07	$167.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $107.29 / $162.32	Facility		$46.42	$107.29	$162.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $102.00	Professional		$81.00	$81.00	$102.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $195.80 / $301.00	Professional		$195.80	$195.80	$301.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $71.91 / $112.81	Professional		$55.25	$71.91	$112.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $288.29 / $870.20 / $870.20	Facility		$288.29	$870.20	$870.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $879.36 / $879.36 / $1,223.55	Professional		$879.36	$879.36	$1,223.55