Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $131.83	Professional		$79.43	$107.15	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $302.00	Facility		$223.87	$275.42	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $123.03	Professional		$114.82	$117.49	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $147.91 / $229.09	Facility		$89.13	$147.91	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $204.17	Professional		$147.91	$154.88	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $61.66 / $154.88	Facility		$57.54	$61.66	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $104.71	Professional		$53.70	$72.44	$104.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,148.15	Professional		$870.96	$870.96	$1,148.15