Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $149.06 / $302.51	Facility		$149.06	$149.06	$302.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $149.06 / $149.06	Professional		$89.59	$149.06	$149.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $192.69 / $365.85	Facility		$160.58	$192.69	$365.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $150.19 / $160.22	Professional		$135.18	$150.19	$160.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $231.00	Professional		$88.05	$120.62	$231.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $149.06 / $223.30	Facility		$57.30	$149.06	$223.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $141.00	Professional		$112.00	$112.00	$141.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $233.30 / $358.60	Professional		$233.30	$233.30	$358.60
United Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $99.91 / $156.74	Professional		$76.76	$99.91	$156.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $334.61 / $927.48 / $927.48	Facility		$334.61	$927.48	$927.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,002.77 / $1,002.77 / $1,457.85	Professional		$1,002.77	$1,002.77	$1,457.85