Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $85.19 / $172.92	Facility		$85.19	$85.19	$172.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $85.19 / $85.19	Professional		$51.20	$85.19	$85.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $169.77 / $209.08	Facility		$104.27	$169.77	$209.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $85.84 / $91.56	Professional		$79.68	$85.84	$91.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Facility		$90.38	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $132.00	Professional		$76.81	$90.38	$132.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $85.19 / $129.05	Facility		$32.76	$85.19	$129.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $80.31	Professional		$69.00	$69.00	$80.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $133.30 / $205.00	Professional		$133.30	$133.30	$205.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $57.35 / $89.59	Professional		$43.88	$57.35	$89.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $191.27 / $532.02 / $532.02	Facility		$191.27	$532.02	$532.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $573.15 / $573.15 / $833.18	Professional		$573.15	$573.15	$833.18